# DEMETRIOS PETROVAS M.D. S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124295340
- **Authorized official:** DEMETRIOS PETROVAS MD (PRESIDENT)
- **Authorized official phone:** (773) 658-2300

## Contact information

- **Practice address:** 3960 NORTH HARLEM AVE, CHICAGO, IL 60634-2219
- **Practice address phone:** (773) 658-2300
- **Practice address fax:** (773) 658-2305
- **Mailing address:** 2420 ASBURY RD, NORTHBROOK, IL 60062-5902
- **Mailing address phone:** (847) 400-5485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 042616685 | IL | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 01/20/2015