Individual
MELCHOR V DEMETRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-3251
(312) 864-9322
Mailing address
807 W WOLFRAM ST, CHICAGO, IL 60657-5180
(312) 864-3251
(312) 864-9322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036087099
IL
207RG0100X
Gastroenterology Physician
Primary
036087099
IL
207RT0003X
Transplant Hepatology Physician
036-087099
IL
Other
Enumeration date
07/28/2006
Last updated
06/09/2022
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