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1326146820

NPI Code Detail

MEDICARE: DR. MARIAN DEMUS M.D.

MEDICARE: DR. MARIAN DEMUS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	36072464	IL
2	2085N0700X	Neuroradiology Physician	36072464	IL
3	2085N0904X	Nuclear Radiology Physician	36072464	IL
4	2085P0229X	Pediatric Radiology Physician	36072464	IL
5	2085R0202X	Diagnostic Radiology Physician	36072464	IL
6	2085R0203X	Therapeutic Radiology Physician	36072464	IL
7	2085R0204X	Vascular & Interventional Radiology Physician	36072464	IL
8	2085U0001X	Diagnostic Ultrasound Physician	36072464	IL

General Provider Information

NPI Number	:	1326146820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIAN DEMUS M.D.

Provider Business Mailing Address
First Line	:	1431 N CLAREMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1702
Country	:	US
Telephone Number	:	312-633-5850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 N CLAREMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1702
Country	:	US
Telephone Number	:	312-633-5850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/23/2012

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Directions to “ DR. MARIAN DEMUS M.D.” Practice Location

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