John Klimediotis S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JOHN KLIMEDIOTIS S.C.

Practice address

1420 Renaissance Dr
Suite 207
Park Ridge, IL 60068-1330

Phone

(847) 296-0505

Fax

(847) 827-1037

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John KlimediotisNPI 1457363533

Title

Doctor

Phone

(847) 296-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• John Klimediotis, D.C.

  • Chiropractor
  • Park Ridge, IL
  • NPI 1457363533
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255463337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR",
            "address_2": "SUITE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681330",
            "telephone_number": "847-296-0505",
            "fax_number": "847-827-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR",
            "address_2": "SUITE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681330",
            "telephone_number": "847-296-0505",
            "fax_number": "847-827-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KLIMEDIOTIS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLIMEDIOTIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-296-0505",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ed Jirschele, DO
• JMJ Healthcare Services Corp
• Kimberly Ann Jobke, MS, LPC, NCC
• Dewey Joern, DPT
• John F. Davis, DDS LTD.
• John M. Cottrell D.O. Chartered
• Mark J Johns, PSYD, CADC
• Alyssa Ann Johnson, PA
• Clayton James Johnson, DO
• Jacklyn Johnson

• 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 Aug 22, 2020; 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.