DEMETRIOS PETROVAS M.D. S.C.
NPI 1124295340
Clinic/Center - Medical Specialty in Chicago, IL

Q: What is Demetrios Petrovas M.D. S.C.'s NPI number?

The NPI number for Demetrios Petrovas M.D. S.C. is 1124295340. It was assigned to this organization in the NPPES registry on May 15, 2008.

Q: What is Demetrios Petrovas M.D. S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since May 15, 2008

3960 NORTH HARLEM AVE, CHICAGO, IL 60634(773) 658-2300(773) 658-2305 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Demetrios Petrovas M.d. S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIOS PETROVAS M.D. S.C. (NPI 1124295340) is a healthcare organization registered as a medical specialty in Chicago, Illinois and active in the NPI registry since May 2008. The organization lists Demetrios Petrovas, President, as its authorized official.

NPPES Registry Identity

NPI1124295340

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameDEMETRIOS PETROVAS M.D. S.C.

Location Address3960 NORTH HARLEM AVEChicago, IL 60634-2219

Mailing Address2420 Asbury RdNorthbrook, IL 60062-5902 · (847) 400-5485

Phone(773) 658-2300

Fax(773) 658-2305

Organization SubpartNo

Authorized OfficialDemetrios PetrovasPresident · (773) 658-2300

Enumeration DateMay 15, 2008

Last NPPES UpdateJanuary 20, 2015

✔ NPI 1124295340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in IL · 042616685

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3960 NORTH HARLEM AVE, Chicago, IL 60634

Open in Google Maps ↗

Other Identifiers 1

Medicare PIN987862IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrios Petrovas M.D. S.C.'s NPI number?

The NPI number for Demetrios Petrovas M.D. S.C. is 1124295340. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Demetrios Petrovas M.D. S.C. located?

Demetrios Petrovas M.D. S.C. is located at 3960 North Harlem Ave, Chicago, IL 60634. The listed phone number is (773) 658-2300.

What is Demetrios Petrovas M.D. S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Demetrios Petrovas M.D. S.C. was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.