Individual
MRS. LAURA DEMARCO-PAITL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1710 N RANDALL RD, SUITE 200, ELGIN, IL 60123-4717
(847) 214-5764
(847) 214-5777
Mailing address
1710 N RANDALL RD, SUITE 200, ELGIN, IL 60123-4717
(847) 214-5764
(847) 214-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036085218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085218
—
IL
01
—
04532170
BLUE CROSS BLUE SHIELD
IL
01
—
610033301
DOL WORKCOMP
IL
01
—
DB0387
RAILROAD MEDICARE GROUP
IL
Enumeration date
07/12/2005
Last updated
07/08/2007
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