Demetrios Bobolos, LAC is a
Acupuncturist based in La Grange, Illinois. Demetrios Bobolos is licensed to practice in Illinois (license number 198.001145) and his current practice location is
512 W Burlington Ave, Suite 104, La Grange, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 469-7592.
NPI number for Demetrios Bobolos is 1851701668 and his current mailing address is 5757 N Sheridan Rd, 17d, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851701668.
Healthcare Provider's Profile
Full Name | Demetrios Bobolos |
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Gender | Male |
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Speciality | Acupuncturist |
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Location | 512 W Burlington Ave, La Grange, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851701668
- Provider Enumeration Date: 05/01/2014
- Last Update Date: 05/01/2014
Medical Identifiers
Medical identifiers for Demetrios Bobolos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851701668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 198.001145 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Demetrios Bobolos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Demetrios Bobolos, LAC 5757 N Sheridan Rd, 17d, Chicago, IL 60660-4746 Ph: (773) 835-2626 | Demetrios Bobolos, LAC 512 W Burlington Ave, Suite 104, La Grange, IL 60525-2221 Ph: (708) 469-7592 |
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