S. David Demorest

LBN: S. David Demorest
S. David Demorest is an health care organization with primary practice located at 8383 Belmont Avenue , River Grove IL 60171. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. S. David Demorest can be contacted via phone (708) 452-1200, or through Giacchino, Joseph L via phone (708) 343-2500.

Contact Information

Primary practice address
8383 Belmont Avenue River Grove IL 60171
Phone: (708) 452-1200
Fax: (708) 452-0157
Website:
Map and Directions
Authorized official contact:
Name: Giacchino, Joseph L Doctor of Medicine (MD)
Phone: (708) 343-2500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Illinois

Profile Details

NPI number 1235327941
LBN Legal business name S. David Demorest
DBA Doing business as
Authorized official Giacchino, Joseph L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235327941 NPPES
Illinois Other 737320 MEDICARE
Illinois MEDICAID 0360677383 MEDICARE

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