DEMETRIOS PETROVAS M.D. S.C.
NPI 1124295340
Clinic/Center - Medical Specialty in Chicago, IL
NPI Status: Active since May 15, 2008
Contact Information
3960 NORTH HARLEM AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 658-2300
Fax: (773) 658-2305
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
About DEMETRIOS PETROVAS M.D. S.C.
This page provides the complete NPI Profile along with additional information for Demetrios Petrovas M.d. S.c., a provider established in Chicago, Illinois operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1124295340 assigned on May 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 042616685 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Demetrios Petrovas Md (President)
- NPI
- 1124295340
- Provider Name
- DEMETRIOS PETROVAS M.D. S.C.
- Entity Type
- Organization
- Location Address
- 3960 NORTH HARLEM AVE CHICAGO, IL 60634
- Location Phone
- (773) 658-2300
- Location Fax
- (773) 658-2305
- Mailing Address
- 2420 ASBURY RD NORTHBROOK, IL 60062
- Mailing Phone
- (847) 400-5485
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2008
- Last Update Date
- 01-20-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 042616685
- License State
- IL
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 987862 | MEDICARE PIN (08) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 2 | 9 | 5 | 3 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 4 | 9 | 10 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 4 + 9 + 1 + 0 + 3 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124295340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124295340, enumerated in the NPI registry as an "organization" on May 15, 2008
The provider is located at 3960 North Harlem Ave Chicago, Il 60634 and the phone number is (773) 658-2300
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 15, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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