Individual
MICHAEL REMY DEMAERTELAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21205 OWENS RD STE 3, MOKENA, IL 60448-2023
(815) 469-2123
(815) 469-2149
Mailing address
21205 OWENS RD STE 3, MOKENA, IL 60448-2023
(815) 469-2123
(815) 469-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105510
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105510
—
IL
01
—
09915014
BLUE CROSS BLUE SHIELD
IL
01
—
649420
MEDICARE PROV NUMBER
—
Enumeration date
11/22/2006
Last updated
03/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us