| Demetrios Bobolos, LAC | |
|
512 W Burlington Ave, Suite 104, La Grange, IL 60525-2221 | |
| (708) 469-7592 | |
| Not Available |
| Full Name | Demetrios Bobolos |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 512 W Burlington Ave, La Grange, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851701668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 198.001145 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Demetrios Bobolos, LAC 5757 N Sheridan Rd, 17d, Chicago, IL 60660-4746 Ph: (773) 835-2626 | Demetrios Bobolos, LAC 512 W Burlington Ave, Suite 104, La Grange, IL 60525-2221 Ph: (708) 469-7592 |
James Christian Zotti, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave, Suite 104, La Grange, IL 60525 Phone: 708-469-7592 Fax: 708-469-7897 | |
Red Aspen Inc. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave, Ste. 104, La Grange, IL 60525 Phone: 708-288-2696 |