Rupp, Demetra Vlagos
Rupp, Demetra Vlagos is an individual health care provider with primary practice located at 302 Randall Rd , Geneva IL 60134-4209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Rupp, Demetra Vlagos can be contacted via phone (630) 208-6775.Contact Information
Primary practice address
302 Randall Rd
Geneva IL 60134-4209
Phone: (630) 208-6775
Fax: (630) 208-7937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036115634 | Illinois |
Profile Details
| NPI number | 1518131903 |
|---|---|
| LBN Legal business name | Rupp, Demetra Vlagos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Nov 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518131903 | NPPES |
| Illinois | Other | 206147 | MEDICARE PTAN (GROUP) |
| Illinois | Other | 206147110 | MEDICARE PTAN (GROUP) |
| Illinois | Other | CE8792 | MEDICARE PTAN (GROUP) |
| Illinois | Other | 201557001 | MEDICARE PTAN (GROUP) |
| Illinois | Other | P01090235 | MEDICARE PTAN (GROUP) |
| Illinois | Other | 036-115634 | MEDICARE PTAN (GROUP) |
| Illinois | MEDICAID | 036115634 | MEDICARE PTAN (GROUP) |
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