Individual provider Active NPI

Evangelia Skokos, D.C.

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1033289475
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009812 Issued in IL
Practice address
200 E Roosevelt Rd
Lombard, IL 60148-4539
Phone
(630) 889-6459
NPI assigned
Nov 9, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009812 IL Primary

Addresses

Primary practice location

200 E Roosevelt Rd
Lombard, IL 60148-4539

Mailing address

721 W Lake St Ste 201
Addison, IL 60101-2035
Phone (630) 290-3380

Other practice location 1

721 W Lake St Ste 201
Addison, IL 60101-2035
Phone (630) 290-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000872 IL Practitioner - Chiropractic 1456302165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

721 W Lake St
Suite 201
Addison, IL 60101-2035
Phone (630) 601-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009812ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare Clinic Corporation Chiropractor CurrentSince Jun 11, 2019 Accepting new patients
Preferred Chiropractic Center Chiropractor Past Accepting new patients

Locations

721 W Lake St
Ste 201
Addison, IL 60101
Phone (331) 225-2950

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033289475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST STE 201",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "630-290-3380",
            "fax_number": "630-385-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484539",
            "telephone_number": "630-889-6459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 W Lake St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "IL",
            "postal_code": "601012035",
            "country_code": "US",
            "telephone_number": "630-290-3380",
            "fax_number": "630-385-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOKOS",
        "first_name": "EVANGELIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.