Lopes, Demetrius K

Lopes, Demetrius K is an individual health care provider with primary practice located at 1700 Luther Lane Suite 1170, Park Ridge IL 60068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Lopes, Demetrius K can be contacted via phone (844) 376-3876.

Contact Information

Primary practice address
1700 Luther Lane Suite 1170 Park Ridge IL 60068
Fax: (847) 723-2041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036105112 Illinois

Profile Details

NPI number 1184693244
LBN Legal business name Lopes, Demetrius K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 25th, 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 1184693244 NPPES
Illinois MEDICAID 0361051121

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