John N Panopoulos, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009079 Issued in IL

Practice address

1550 N Northwest Hwy Ste 206
Park Ridge, IL 60068-1459

Phone

(847) 739-3120

Fax

(847) 886-4025

NPI assigned

Feb 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Health LTDGroup PAC ID 2567609027, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Health LTD

  • Chiropractor
  • Park Ridge, IL
  • NPI 1104199983
  Medicare reassignment Care Compare group NPD Authorized official
• Active Health Centers, LTD.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1144343575
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1124093570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601382308",
            "telephone_number": "847-739-3120",
            "fax_number": "847-886-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 206",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681459",
            "telephone_number": "847-739-3120",
            "fax_number": "847-886-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOPOULOS",
        "first_name": "JOHN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Noelle Pandza, MD
• Alyssa Panganiban, DO
• Megan Panici, LCSW
• Lawrence R Pankau, MD
• Greg Pankow, PHARMACIST
• Giovanni Paolella Jr., MD
• Brian Philip Curran Paoletti
• Nadia Paonessa, DO
• Nicholas S Papanos, M.D.
• Angela Elena Papassavas, M.D.

• Chiropractor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.