Organization · Type 2 NPI

S. David Demorest

Primary Care Clinic/Center · River Grove, IL

NPI number 1235327941 Active

Practice location

8383 Belmont Avenue
River Grove, IL 60171

Fax (708) 452-0157

Mailing address

P. O Box 1624
Melrose Park, IL 60160

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1235327941

S. David Demorest's National Provider Identifier is 1235327941, issued on Oct 9, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in River Grove, IL. The record was last updated on Oct 9, 2007.