DEMETRIUS MARCOULIDES NP NPI 1952887093

NPI Information

NPI: 1952887093
Provider Name: DEMETRIUS MARCOULIDES, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
2001 S CALIFORNIA AVE STE 100
CHICAGO, IL
ZIP 60608
Phone: (773) 584-6200
Get Directions

Demetrius Marcoulides, NP is a primary care nurse practitioner in Chicago, IL with 7 years of experience. Demetrius Marcoulides, NP NPI is 1952887093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 S CALIFORNIA AVE STE 100
CHICAGO, IL
ZIP 60608-486
Phone: (773) 584-6200
Fax: (844) 285-1003

The NPI 1952887093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 4/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	209022856	ILLINOIS	No
2	363LP2300X	Nurse Practitioner	Primary Care	209022856	ILLINOIS	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	R223957	MARYLAND	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »