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NPI Code Detail

MEDICARE: DR. ADRIAN W DEME MD

MEDICARE: DR. ADRIAN W DEME MD
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
1174400000XSpecialistIL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11700882107OTHERILRAILROAD MEDICARE

General Provider Information

NPI Number : 1700882107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADRIAN W DEME MD
Provider Business Mailing Address
First Line : 1606 N ARLINGTON HEIGHTS ROAD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004
Country : US
Telephone Number : 847-797-8900
Fax Number : 847-797-8908
Provider Business Practice Location Address
First Line : 1606 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-797-8900
Fax Number : 847-797-8908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/03/2008

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Directions to “ DR. ADRIAN W DEME MD” Practice Location

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