Organization Active NPI

Trakst, P.C.

  • Chiropractor
  • Berwyn, IL
National Provider Identifier
1104060789
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.007357 Issued in IL
Legal business name
TRAKST, P.C.
Practice address
6645 W. Stanley Ave.
Berwyn, IL 60402-3128
Phone
(708) 484-1111
Fax
(708) 484-1112
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Rimas L. Novickis, D.C.NPI 1922137496
Title
Owner/President
Phone
(708) 484-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.007357 IL Primary

Addresses

Primary practice location

6645 W. Stanley Ave.
Berwyn, IL 60402-3128

Mailing address

6645 W. Stanley Ave.
Berwyn, IL 60402-3128
Phone (708) 484-1111

Other identifiers 1

IdentifierTypeStateIssuer
1625550OtherILBCBS IL

National Provider Directory

National Provider Directory

Locations

6645 Stanley Ave
Berwyn, IL 60402
Phone (708) 484-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1104060789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 W. STANLEY AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023128",
            "telephone_number": "708-484-1111",
            "fax_number": "708-484-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 W. STANLEY AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023128",
            "telephone_number": "708-484-1111",
            "fax_number": "708-484-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAKST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "NOVICKIS",
        "authorized_official_first_name": "RIMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "708-484-1111",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.007357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1625550",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.