Organization Active NPI

Christopher T. Kardasis M.D., S.C.

  • Ophthalmology Physician
  • Hazel Crest, IL
National Provider Identifier
1104948967
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036096219 Issued in IL
Legal business name
CHRISTOPHER T. KARDASIS M.D., S.C.
Practice address
17850 Kedzie Ave
Doctors Pavilion Suite 1200
Hazel Crest, IL 60429-2058
Phone
(708) 799-3720
Fax
(708) 799-3733
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Dr. Christopher Theodore Kardasis, M.D.NPI 1457402919
Title
President
Phone
(708) 799-3720

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 036096219 IL Primary

Addresses

Primary practice location

17850 Kedzie Ave
Doctors Pavilion Suite 1200
Hazel Crest, IL 60429-2058

Mailing address

17850 Kedzie Ave
Doctors Pavilion Suite 1200
Hazel Crest, IL 60429-2058
Phone (708) 799-3720

Other identifiers 3

IdentifierTypeStateIssuer
01620286OtherILBLUE CROSS BLUE SHIELD
036096219MedicaidIL
180043027OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000656 IL Part B Supplier - Clinic/Group Practice 6305807686 Receives reassigned benefits from 1 practitioner
Practice locations: Evergreen Park, IL; Hazel Crest, IL; Park Ridge, IL

National Provider Directory

National Provider Directory

Locations

3300 W 95th St
Evergreen Pk, IL 60805
Phone (708) 499-9494

17850 Kedzie Ave
Ste 120
Hazel Crest, IL 60429
Phone (708) 799-3720

17850 Kedzie Ave
Ste 12
Hazel Crest, IL 60429

17850 Kedzie Ave
Ste 1200
Hazel Crest, IL 60429
Phone (708) 700-3720

2604 Dempster St
Ste 301
Park Ridge, IL 60068
Phone (708) 799-3720

Practitioners & affiliated clinicians

Practitioners 2

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1104948967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "DOCTORS PAVILION SUITE 1200",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-799-3720",
            "fax_number": "708-799-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "DOCTORS PAVILION SUITE 1200",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-799-3720",
            "fax_number": "708-799-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER T. KARDASIS M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "KARDASIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-799-3720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036096219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01620286",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.