Individual provider Active NPI

Peter Dimitrios Nikas

  • Chiropractor
  • Skokie, IL
National Provider Identifier
1285948117
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011721 Issued in IL
Practice address
9933 Lawler Ave Ste 520
Skokie, IL 60077-3724
Phone
(847) 763-1775
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011721 IL Primary

Addresses

Primary practice location

9933 Lawler Ave Ste 520
Skokie, IL 60077-3724

Mailing address

3322 83Rd St
Woodridge, IL 60517-3633
Phone (630) 935-7137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative and Functional Health and Wellness LLC CurrentSince Nov 10, 2022 Accepting new patients

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1285948117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 83RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173633",
            "telephone_number": "630-935-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 520",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773724",
            "telephone_number": "847-763-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKAS",
        "first_name": "PETER",
        "middle_name": "DIMITRIOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.