Individual
DR. JOHN DEMASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 S WABENA AVE, MINOOKA, IL 60447-8723
(815) 467-1518
(815) 467-7419
Mailing address
201 S WABENA AVE, LOWER LEVEL B, MINOOKA, IL 60447-8723
(815) 941-9124
(815) 941-9128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036094869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094869-1
—
IL
Enumeration date
01/09/2006
Last updated
07/08/2007
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