STANLEY D. DEMOREST MD – NPI #1982769071
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

STANLEY DEMOREST is a physician located in MELROSE PARK, IL. NPPES has assigned the NPI number 1982769071 to STANLEY DEMOREST on December 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 9 years ago on Feb 24, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STANLEY DEMOREST below.

The provider associated with this NPI number, 1982769071, has been excluded by the Office of Inspector General.

NPI Profile for
STANLEY D. DEMOREST

NPI Number
1982769071
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STANLEY D. DEMOREST
Credentials
MD
Primary location
1111 SUPERIOR ST
SUITE 304
MELROSE PARK, IL 60160-4138
Phone: (708) 786-7100 Fax: (708) 786-7101
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for STANLEY DEMOREST

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIL1616867
OTHERMEDICAREIL714980
MEDICAIDIL036067738
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 036067738

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.