| Demask Family Medical S.c. | |
|
201 S Wabena Ave Suite Ll-a Minooka IL 60447-8723 | |
| (815) 467-5100 | |
| Not Available |
| Full Name | Demask Family Medical S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 S Wabena Ave, Minooka, Illinois |
| Authorized Official Name and Position | John A. Demask (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 8154675100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Demask Family Medical S.c. 201 S Wabena Ave Suite Ll-a Minooka IL 60447-8723 Ph: () - | Demask Family Medical S.c. 201 S Wabena Ave Suite Ll-a Minooka IL 60447-8723 Ph: (815) 467-5100 |
| NPI Number | 1720126675 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274636295 |
|---|---|
| Medicare Enrollment ID | O20070313000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720126675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
| Provider Name | John Alan Demask |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174501134 PECOS PAC ID: 2466433859 Enrollment ID: I20040601000713 |
Liberty Medical Center Of Minooka, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W Mondamin St, Minooka, IL 60447 Phone: 815-521-1010 Fax: 815-521-1826 |