John N Kiriklakis, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036100938 Issued in IL

Legal business name

JOHN N KIRIKLAKIS, MD PC

Practice address

1111 Superior St
Suite 408
Melrose Park, IL 60160-4138

Phone

(708) 345-2035

Fax

(708) 345-2040

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Nicholas Kiriklakis

Title

President

Phone

(708) 345-2035

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1184812075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 408",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-345-2035",
            "fax_number": "708-345-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 408",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-345-2035",
            "fax_number": "708-345-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N KIRIKLAKIS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "KIRIKLAKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-345-2035",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100938",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110238628",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01632337",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay T. Janowski, LCSW
• Jaimee Jaucian, MA, LCPC
• Lee Jenkins, M.D.
• JG Leija MD Faca LTD
• Natalie Jinete
• Priscilla Ann John, PT, DPT
• Jennifer Johnston, BA
• Peter T Joo, M.D.
• Joseph J. Furlin, M.D., S.C.
• Joel Joseph, D.M.D.

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.