H Demitri Medical SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

H DEMITRI MEDICAL SC

Practice address

33 N Addison Rd
Addison, IL 60101-3875

Phone

(630) 530-4144

Fax

(630) 530-7404

NPI assigned

Sep 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Haralambos Hatzidimitriadis, MDNPI 1780766170

Title

President

Phone

(773) 658-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haralambos Hatzidimitriadis, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1780766170
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1275729287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342219",
            "telephone_number": "773-658-2300",
            "fax_number": "773-658-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N ADDISON RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013875",
            "telephone_number": "630-530-4144",
            "fax_number": "630-530-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H DEMITRI MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "HATZIDIMITRIADIS",
        "authorized_official_first_name": "HARALAMBOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-658-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PI",
            "identifier": "01634343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Greico, DMD
• Paul N Greico, DDS
• Bonnie Grothe
• Amanda Guida, M.A. CCC-SLP/L
• Hazel Guyod
• Julia Hall, LPC
• Stacey L Hall, PHARM D
• Hamdard Health Alliance
• Mohammad Hamid
• Haris Medical Group LLC

• Internal Medicine Physician in Addison, IL
• Providers in Addison, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.