Provider Demographics
NPI:1477709442
Name:LOUIS, DEMETRIOS JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:DEMETRIOS
Middle Name:JOHN
Last Name:LOUIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2101 S. ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:SUITE 165
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4142
Mailing Address - Country:US
Mailing Address - Phone:847-593-6800
Mailing Address - Fax:847-593-6803
Practice Address - Street 1:2101 S. ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:SUITE 165
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4142
Practice Address - Country:US
Practice Address - Phone:847-593-6800
Practice Address - Fax:847-593-6803
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125048597207L00000X
IL036122435207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology