Organization
LELA DEMETER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELA DEMETER MD (PRESIDENT)
(708) 479-6522
Entity
Organization
Contact information
Practice address
11824 SOUTHWEST HWY STE 130, PALOS HEIGHTS, IL 60463-2658
(708) 923-1900
(708) 923-1119
Mailing address
11824 SOUTHWEST HWY STE 130, PALOS HEIGHTS, IL 60463-2658
(708) 923-1900
(708) 923-1119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098873
—
IL
Enumeration date
01/30/2007
Last updated
05/08/2008
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