Demaertelaere, Michael Remy

Demaertelaere, Michael Remy is an individual health care provider with primary practice located at 21205 Owens Rd Ste 3 , Mokena IL 60448-2023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Demaertelaere, Michael Remy can be contacted via phone (815) 469-2123.

Contact Information

Primary practice address
21205 Owens Rd Ste 3 Mokena IL 60448-2023
Phone: (815) 469-2123
Fax: (815) 469-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036105510 Illinois

Profile Details

NPI number 1982779237
LBN Legal business name Demaertelaere, Michael Remy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Mar 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982779237 NPPES
Illinois MEDICAID 036105510
Illinois Other 09915014
Illinois Other 649420

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