DEMETRIOS PETROVAS M.D. S.C. (NPI# 1124295340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124295340 |
| Entity Type | Organization |
| Organization Name | DEMETRIOS PETROVAS M.D. S.C. |
| Practice Address |
3960 North Harlem Ave Chicago IL 60634-2219 |
| Mailing Address |
2420 Asbury Rd Northbrook IL 60062-5902 |
| Practice Telephone | 7736582300 |
| Practice Fax Number | 7736582305 |
| Mailing Telephone | 8474005485 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | DEMETRIOS PETROVAS (PRESIDENT) |
| Authorized Official Telephone | 7736582300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
042616685 | IL | Ambulatory Health Care Facilities |
| Street Address |
3960 NORTH HARLEM AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1689989717 | A Better Weigh, Inc | Clinic/Center | 1931 W 95th St, Chicago, IL 60643-1105 | 2010-08-12 |
| 1598086399 | Bernadette B Mayer Md Sc | Clinic/Center | 5365 W Devon Ave, Chicago, IL 60646-4142 | 2010-06-15 |
| 1689841801 | Petrovas Medical Center, S.c | Clinic/Center | 5962 N Lincoln Ave Ste 12, Chicago, IL 60659-3762 | 2008-05-15 |
| 1952577926 | Jefferson Park Medical Center, Ltd. | Clinic/Center | 4955 N Milwaukee Ave Ste 4, Chicago, IL 60630-2175 | 2008-04-30 |
| 1194833616 | Wicker Park Chiropractic Health | Clinic/Center | 2300 W North Ave, Chicago, IL 60647-5659 | 2006-08-25 |
| 1073567541 | Horizon Dante Pimentel | Clinic/Center | 4402 W Lawrence Ave, Chicago, IL 60630-2511 | 2006-05-20 |
| 1659985661 | Saint Anthony Health Affiliates | Clinic/Center | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.