Individual provider Active NPI

Andreas Deligiannis, D.C.

  • Chiropractor
  • Des Plaines, IL
National Provider Identifier
1073619102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
675 N Wolf Rd
Des Plaines, IL 60016-1045
Phone
(847) 298-4470
Fax
(847) 298-4472
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

675 N Wolf Rd
Des Plaines, IL 60016-1045

Mailing address

675 N Wolf Rd
Des Plaines, IL 60016-1045
Phone (847) 298-4470

Other identifiers 1

IdentifierTypeStateIssuer
016-28246OtherILBLUE CROSS/BLUE SHIELD IL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000557 IL Practitioner - Chiropractic 4880769595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

675 N Wolf Rd
Des Plaines, IL 60016-1045
Phone (847) 298-4470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009495ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Care Inc. Chiropractor CurrentSince Jun 5, 2008 Accepting new patients

Locations

675 N Wolf Rd
Des Plaines, IL 60016
Phone (847) 298-4470

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073619102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N WOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161045",
            "telephone_number": "847-298-4470",
            "fax_number": "847-298-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N WOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161045",
            "telephone_number": "847-298-4470",
            "fax_number": "847-298-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIGIANNIS",
        "first_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD IL",
            "identifier": "016-28246",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.