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Demetrius Marcoulides, NP — NPI 1952887093, Chicago, IL | NPI Central

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NPI 1952887093

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Demetrius Marcoulides, NP

NPI 1952887093 · Gerontology Nurse Practitioner · Chicago, IL

Provider details

NPI number: 1952887093
Entity type: Individual
Primary specialty: Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP
Sex: Male
Sole proprietor: No
License: 277.005052 (IL)

Specialties & taxonomies

Gerontology Nurse PractitionerPrimary363LG0600XLicense 277.005052 (IL)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

4417 W Diversey Ave

Chicago, IL 60639-1923

Phone: (815) 642-5723

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

Po Box 746715

Atlanta, GA 30374-6715

Additional practice locations (1)

3010 W 26th St
Chicago, IL 60623-4128
Phone: (847) 220-4103

Registry dates

Enumerated: 2018-07-12
Last updated: 2026-01-13
Certified: 2026-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.