Demetrios Patos in Berwyn - Sports Physician
Demetrios Patos - NPI 1942348388
Demetrios Patos is a Sports Physician in Berwyn, Illinois. Demetrios Patos practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Demetrios Patos is 1942348388. The last update date is 2007-07-08.
Demetrios Patos's current location address is 3253 Harlem Ave, Berwyn, Illinois. You can contact this provider via phone number 7087883880 and fax number 7087884757. The mailing address for Demetrios Patos is 3253 Harlem Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demetrios Patos |
|---|---|
| Address | 3253 Harlem Ave, Berwyn, Illinois |
| Phone Number | 7087883880 |
| Fax Number | 7087884757 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1942348388 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3253 Harlem Ave |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604022996 |
| Phone Number | 7087883880 |
| Fax Number | 7087884757 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique identifier code issued to Demetrios Patos by the Centers for Medicare & Medicaid Services?
The Demetrios Patos has been assigned the NPI (National Provider Identifier) 1942348388. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Demetrios Patos is geographically located?
The Demetrios Patos is physically situated at the following location: 3253 Harlem Ave, Berwyn, IL, 604022996.
What is Demetrios Patos's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Demetrios Patos is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942348388 to Demetrios Patos?
The Demetrios Patos received its 1942348388 assignment from the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the details related to Demetrios Patos most recently updated or revised?
The information pertaining to Demetrios Patos, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.