Active NPI
Drew S Kandilakis, D.C.
- Chiropractor
- Des Plaines, IL
National Provider Identifier
1316971369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007934
- Practice address
- 9820 Milwaukee Ave
1St Floor
Des Plaines, IL 60016-1805 - Phone
- (312) 804-8910
- Fax
- (630) 390-2222
- NPI assigned
- Jul 10, 2006
- Last updated
- Oct 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038007934 | IL | Primary |
| Physiological Laboratory | 293D00000X | 038-007934 | IL |
Addresses
Primary practice location
9820 Milwaukee Ave
1St Floor
Des Plaines, IL 60016-1805
Mailing address
PO Box 85
Park Ridge, IL 60068-0085
Phone (877) 278-1437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007934 | IL | MD | Physiological Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multispecialty Medical Center LTD | Past | Accepting new patients | |
| Diversey Medical Center SC | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEHDDD/Endpoint/DEHDDD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1316971369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600680085",
"telephone_number": "877-278-1437",
"fax_number": "630-390-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9820 MILWAUKEE AVE",
"address_2": "1ST FLOOR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161805",
"telephone_number": "312-804-8910",
"fax_number": "630-390-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDILAKIS",
"first_name": "DREW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038007934",
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "IL",
"license": "038-007934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.