Organization Active NPI

H Demitri Medical SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1811064918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
H DEMITRI MEDICAL SC
Practice address
3960 N Harlem Ave
Chicago, IL 60634-2219
Phone
(773) 658-2300
Fax
(773) 658-2305
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Haralambos Hatzidimitriadis, MD
Title
President
Phone
(708) 658-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3960 N Harlem Ave
Chicago, IL 60634-2219

Mailing address

3960 N Harlem Ave
Chicago, IL 60634-2219
Phone (773) 658-2300

National Provider Directory

National Provider Directory

Locations

33 N Addison Rd
Ste 101
Addison, IL 60101
Phone (630) 530-4144

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811064918",
    "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": "3960 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342219",
            "telephone_number": "773-658-2300",
            "fax_number": "773-658-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H DEMITRI MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATZIDIMITRIADIS",
        "authorized_official_first_name": "HARALAMBOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-658-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.