Individual
DR. YULIA M DEMIDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, 3200W; MC 515, CHICAGO, IL 60612-7232
(312) 996-4020
(312) 996-4019
Mailing address
1740 W TAYLOR ST, 3200W; MC 515, CHICAGO, IL 60612-7232
(312) 996-4020
(312) 996-4019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036109413
IL
207L00000X
Anesthesiology Physician
46973
WI
207LP3000X
Pediatric Anesthesiology Physician
036109413
IL
207LP3000X
Pediatric Anesthesiology Physician
46973-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009906261O
HUMANA
—
05
—
1306897475
—
WI
05
—
34537900
—
WI
Enumeration date
05/13/2006
Last updated
12/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us