Individual
CALEB A DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
(708) 216-1249
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9169
(708) 216-1249
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036150971
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/22/2017
Last updated
09/03/2024
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