Demarco-Paitl, Laura

Demarco-Paitl, Laura is an individual health care provider with primary practice located at 1710 N Randall Rd Suite 200, Elgin IL 60123-4717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Demarco-Paitl, Laura can be contacted via phone (847) 214-5764.

Contact Information

Primary practice address
1710 N Randall Rd Suite 200 Elgin IL 60123-4717
Phone: (847) 214-5764
Fax: (847) 214-5777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036085218 Illinois

Profile Details

NPI number 1457359739
LBN Legal business name Demarco-Paitl, Laura
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1457359739 NPPES
Illinois Other 610033301 DOL WORKCOMP
Illinois Other 04532170 DOL WORKCOMP
Illinois MEDICAID 036085218 DOL WORKCOMP
Illinois Other DB0387 DOL WORKCOMP

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