Individual
DEMETRIOS W DRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
50 W. 75TH ST, SUITE 212, WILLOWBROOK, IL 60527-2393
(630) 323-1360
Mailing address
50 W. 75TH ST, SUITE 212, WILLOWBROOK, IL 60527-2393
(630) 323-1360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02273012
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/09/2007
Last updated
07/08/2007
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