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Stanley David Demorest, MD
Family Medicine Physician in Melrose Park, Illinois
NPI 1982769071

Stanley David Demorest is a Family Medicine Physician based in Melrose Park, IL. Stanley David Demorest practices in Melrose Park, IL and has the professional credentials of MD. The NPI Number for Stanley David Demorest is 1982769071 and holds a License No. 036067738 (Illinois).

The current practice location address for Stanley David Demorest is 1111 Superior St, Melrose Park, IL and can be reached out via phone at 708-786-7100 and via fax at 708-786-7101.

Location: 1111 Superior St, Melrose Park, IL, 60160-4138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982769071
Provider Name
Stanley David Demorest
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1111 Superior St, Melrose Park, IL, 60160-4138
Phone Number
708-786-7100
Fax Number
708-786-7101
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616867 01 IL BLUE CROSS BLUE SHIELD
036067738 05 IL
714980 01 IL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1111 Superior St
City
Melrose Park
State
Illinois
Zip
60160-4138
Phone Number
708-786-7100
Fax Number
708-786-7101
person
Provider Business Mailing Address Details
Address
1111 Superior St
City
Melrose Park
State
Illinois
Zip
60160-4138
Phone Number
708-786-7100
Fax Number
708-786-7101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036067738 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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