Lela Demeter MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036098873 Issued in IL

Legal business name

LELA DEMETER MD PC

Practice address

11824 Southwest Hwy Ste 130
Palos Heights, IL 60463-2658

Phone

(708) 923-1900

Fax

(708) 923-1119

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Lela Demeter, MDNPI 1285763607

Title

President

Phone

(708) 479-6522

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Lela Demeter, MD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1285763607
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1821135948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 SOUTHWEST HWY STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632658",
            "telephone_number": "708-923-1900",
            "fax_number": "708-923-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 SOUTHWEST HWY STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632658",
            "telephone_number": "708-923-1900",
            "fax_number": "708-923-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELA DEMETER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "DEMETER",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-479-6522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098873",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel R Leff, M.D.
• Caroline Leflar, PT
• Jeffery Lei, DO
• Lori Christine Leipold, D.O.
• Marko Lekovic, MD
• Maria Lentzou, M.D.
• Barbara Lenzen, SPEECH PATHOLOGIST
• Diana Lester
• Janice Leverenz, M.S. CCC-A
• David S Lewin, M.D.

• Internal Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, 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 May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.