Demetrios Nikoloulis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4607 Golf Rd
Skokie, IL 60076-1209

Phone

(847) 673-5073

Fax

(847) 673-2475

NPI assigned

May 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Healthmed Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1184202699
  NPD Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1043667801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200",
            "fax_number": "630-928-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761209",
            "telephone_number": "847-673-5073",
            "fax_number": "847-673-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLOULIS",
        "first_name": "DEMETRIOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucinda A Nieto, LCSW
• Nightshade Counseling, PLLC
• Peter Dimitrios Nikas
• Sladana Nikezic-Mehovic, DPT
• Brion K Nikitow, DC
• Niles Township HS Di
• Niles TWP School Treasrer
• Nishaan Nagarakanti DO
• Nissa Foundation
• Hani Peter Nissan

• Physical Therapist in Skokie, IL
• Providers in Skokie, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.