Organization · Type 2 NPI
Demetrios Petrovas M.d. S.c.
Medical Specialty Clinic/Center · Chicago, IL
Practice location
3960 North Harlem Ave
Chicago, IL 60634-2219
Fax (773) 658-2305
Mailing address
2420 Asbury Rd
Northbrook, IL 60062-5902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 042616685 (IL) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1124295340
Demetrios Petrovas M.d. S.c.'s National Provider Identifier is 1124295340, issued on May 15, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 20, 2015.