| S. David Demorest | |
|
8383 Belmont Avenue River Grove IL 60171 | |
| (708) 452-1200 | |
| (708) 452-0157 |
| Full Name | S. David Demorest |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8383 Belmont Avenue, River Grove, Illinois |
| Authorized Official Name and Position | Joseph L Giacchino (ADMINISTRATOR/OWNER) |
| Authorized Official Contact | 7083432500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. David Demorest P. O Box 1624 Melrose Park IL 60160 Ph: (708) 452-1200 | S. David Demorest 8383 Belmont Avenue River Grove IL 60171 Ph: (708) 452-1200 |
| NPI Number | 1235327941 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235327941 | NPI | - | NPPES |
| 737320 | Other | IL | MEDICARE |
| 0360677383 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
Susan C Balberde, Md,sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8330 Grand Ave, River Grove, IL 60171 Phone: 708-681-3000 | |
Chmg - River Grove Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8330 Grand Ave, River Grove, IL 60171 Phone: 847-451-0643 | |
River Grove Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 N Belmont, River Grove, IL 60171 Phone: 708-452-1200 Fax: 708-452-0157 |