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DEMOREST CONSUTANTS LLC NPI 1487895801


NPI Information

NPI: 1487895801
Provider Name: DEMOREST CONSUTANTS LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7255 W GRAND AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (440) 279-0599
Get Directions

DEMOREST CONSUTANTS LLC is a family medicine in Elmwood Park, IL. The provider is 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. DEMOREST CONSUTANTS LLC NPI is 1487895801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7255 W GRAND AVE
ELMWOOD PARK, IL
ZIP 60707-028
Phone: (440) 279-0599
Fax: (440) 279-0593

The provider's authorized official is S David Demorest .
The authorized official title is President and has the following contact phone number (440) 279-0599.

The enumeration date for this NPI number is 3/14/2009 and was last updated on 3/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036067738ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDILLINOIS
2PENDINGMEDICARE OSCAR/CERTIFICATIONILLINOIS
3PENDINGMEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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