Demorest Consutants LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067738 Issued in IL

Legal business name

DEMOREST CONSUTANTS LLC

Practice address

7255 W Grand Ave
Elmwood Park, IL 60707-2028

Phone

(440) 279-0599

Fax

(440) 279-0593

NPI assigned

Mar 14, 2009

Last updated

Mar 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. S David Demorest, M.D.

Title

President

Phone

(440) 279-0599

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236988800000",
    "number": "1487895801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 W GRAND AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072028",
            "telephone_number": "440-279-0599",
            "fax_number": "440-279-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 W GRAND AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072028",
            "telephone_number": "440-279-0599",
            "fax_number": "440-279-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMOREST CONSUTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A",
        "authorized_official_last_name": "DEMOREST",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-279-0599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta L De Koster, O.D.
• Fred J De la Cotera, DDS
• Eden Novak Degenova, MA,CRC,LPC
• Michael Del Monico, DMD
• Ralph T Delmonico, DDS
• Abraham Diaz, LCSW
• Athanasios D. Diniotis, MD
• Stevan Djordjevic, DDS
• Maria A. Donamaria, LCPC
• Trisha Donlon

• Family Medicine Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.