Individual
MR. DEMETRIOS PETROVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 N. HARLEM AVE., CHICAGO, IL 60634
(773) 658-2300
(773) 658-2305
Mailing address
3960 N HARLEM AVE, CHICAGO, IL 60634-2267
(773) 658-2300
(773) 658-2305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36084958
IL
207R00000X
Internal Medicine Physician
A50087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36084958
—
IL
Enumeration date
05/19/2006
Last updated
01/20/2015
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