Organization Active NPI

Nicholas Dunkas MD and Associates

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Evanston, IL
National Provider Identifier
1366563256
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
NICHOLAS DUNKAS MD AND ASSOCIATES
Practice address
708 Church St
Suite 216
Evanston, IL 60201-3875
Phone
(847) 864-4744
Fax
(847) 864-9523
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Nicholas Dunkas, MD
Title
Owner
Phone
(847) 864-4744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X IL Primary

Addresses

Primary practice location

708 Church St
Suite 216
Evanston, IL 60201-3875

Mailing address

708 Church St
Suite 216
Evanston, IL 60201-3875
Phone (847) 864-4744

Other names 1

  • Nicholas Dunkas MD & Assoc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000801 IL Part B Supplier - Clinic/Group Practice 0648364604 Receives reassigned benefits from 3 practitioners
Practice locations: Evanston, IL; Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

708 Church St
Ste 216
Evanston, IL 60201
Phone (847) 864-4744

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366563256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "address_2": "SUITE 216",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013875",
            "telephone_number": "847-864-4744",
            "fax_number": "847-864-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "address_2": "SUITE 216",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013875",
            "telephone_number": "847-864-4744",
            "fax_number": "847-864-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS DUNKAS MD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DUNKAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-864-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas Dunkas MD & Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.