| Lela Demeter Md Pc | |
|
11824 Southwest Hwy Ste 130 Palos Heights IL 60463-2658 | |
| (708) 923-1900 | |
| (708) 923-1119 |
| Full Name | Lela Demeter Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11824 Southwest Hwy Ste 130, Palos Heights, Illinois |
| Authorized Official Name and Position | Lela Demeter (PRESIDENT) |
| Authorized Official Contact | 7084796522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lela Demeter Md Pc 11824 Southwest Hwy Ste 130 Palos Heights IL 60463-2658 Ph: (708) 923-1900 | Lela Demeter Md Pc 11824 Southwest Hwy Ste 130 Palos Heights IL 60463-2658 Ph: (708) 923-1900 |
| NPI Number | 1821135948 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 6709960297 |
|---|---|
| Medicare Enrollment ID | O20080221000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821135948 | NPI | - | NPPES |
| 036098873 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036098873 (Illinois) | Primary |
| Provider Name | Lela Demeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285763607 PECOS PAC ID: 8628152113 Enrollment ID: I20080221000549 |
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