institution
S. David Demorest
Primary Care Clinic/Center in River Grove, Illinois
NPI 1235327941

S. David Demorest is a Primary Care Clinic/Center based in Melrose Park, IL and is specialized in Primary Care. S. David Demorest practices in River Grove, IL. The NPI Number for S. David Demorest is 1235327941 and holds a License No. (Illinois).

The current practice location address for S. David Demorest is 8383 Belmont Avenue, River Grove, IL and can be reached out via phone at 708-452-1200 and via fax at 708-452-0157. You can also correspond with S. David Demorest through the mailing address at P. O BOX 1624, MELROSE PARK, IL - 60160 (mailing address contact number: 708-452-1200).

Location: 8383 Belmont Avenue, River Grove, IL, 60160
institution
Provider Profile Details
NPI Number
1235327941
Provider Name
S. David Demorest
Credential
Provider Entity Type
Organization
Address
8383 Belmont Avenue, River Grove, IL, 60160
Phone Number
708-452-1200
Fax Number
708-452-0157
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
737320 01 IL MEDICARE
0360677383 05 IL
institution
Provider Business Practice Location Address Details
Address
8383 Belmont Avenue
City
State
Zip
60171
Phone Number
708-452-1200
Fax Number
708-452-0157
person
Provider Business Mailing Address Details
Address
8383 Belmont Avenue
City
State
Zip
60171
Phone Number
708-452-1200
Fax Number
708-452-0157
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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