S. David Demorest
NPI #1235327941 in River Grove, Illinois
Provider Information
- NPI Number
- 1235327941
- Entity Type
- Organization
- Organization Name
- S. David Demorest
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 8383 BELMONT AVENUE
- City
- River Grove
- State
- Illinois
- ZIP Code
- 60171
- Phone
- (708) 452-1200
Authorized Official
- Name
- JOSEPH L GIACCHINO JR., MD
- Title
- ADMINISTRATOR/OWNER
- Phone
- (708) 343-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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