Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689509747 Individual Practitioner Male Practitioner

Dr. Dalton Paul Dieckow , PharmD

Pharmacist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Dalton Dieckow, PharmD is a registered healthcare professional specializing in Pharmacist in Peoria, IL. Practice services are available at 8940 N WOOD SAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8940 N Wood Sage Rd

Peoria, IL 616157822

Telephone 3092433404
Fax 3092433032
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
149 Specialists

Practicing in Peoria, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.303137

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Debra Beach , APN

Clinical Nurse Specialist

NPI 1013945849

Advanced Practice Nurse

Amy Krus , RN

Registered Nurse

NPI 1023945581

Registered Nurse

Dr. Jijun Liu , MD

Internal Medicine - Hematology & Oncology

NPI 1043474042

Doctor of Medicine (M.D.)

Dr. Paul Fishkin , MD

Internal Medicine - Hematology & Oncology

NPI 1063411379

Doctor of Medicine (M.D.)

Dr. Pankaj Kumar , MD

Internal Medicine - Hematology & Oncology

NPI 1073576922

Doctor of Medicine (M.D.)

Dr. John Kugler , MD

Internal Medicine - Hematology & Oncology

NPI 1083613947

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2026

Registered at 8940 N WOOD SAGE RD, PEORIA, IL 616157822 (Tel: 3092433404)

📍
Updated Business Mailing Address June 17, 2026

Registered at 8940 N WOOD SAGE RD, PEORIA, IL 616157822 (Tel: 3092433404)

👤
Provider Name / Credentials Updated June 17, 2026

Recorded as DALTON DIECKOW, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2026

Pharmacist (License #051.303137 in IL)

🟢
Initial NPI Registration & Enumeration June 17, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689509747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2026
Last Update: June 17, 2026
Sole Proprietor: Yes

Mailing Address

8940 N Wood Sage Rd

Peoria, IL 616157822

Phone: 3092433404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.