Athenos Medical Diagnostics, LTD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ATHENOS MEDICAL DIAGNOSTICS, LTD

Doing business as

Athenos Medical

Practice address

5445 N Sheridan Rd
Suite 512
Chicago, IL 60640-1957

Phone

(312) 804-8910

Fax

(630) 969-4528

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Drew S Kandilakis, D.C.

Title

President

Phone

(312) 804-8910

Specialties & licenses 4

Addresses

Other names 1

• Athenos Medical Doing business as

Tax ID family

Athenos Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Athenos Medical Diagnostics LTD

  dba Athenos Medical

  • Chiropractor
  • Park Ridge, IL
  • NPI 1447451281
  NPD tax ID

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1386812444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 N SHERIDAN RD",
            "address_2": "SUITE 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401957",
            "telephone_number": "312-804-8910",
            "fax_number": "630-969-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 N SHERIDAN RD",
            "address_2": "SUITE 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401957",
            "telephone_number": "312-804-8910",
            "fax_number": "630-969-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENOS MEDICAL DIAGNOSTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "KANDILAKIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-804-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athenos Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safura Ateeq, DO
• Mary Atha, NP
• Athanasia Sarros, D.P.M., LLC
• Athena Dental Institute P C (Athena Dental Group of Chicago)
• Athena Dental Institute, P.C. (Athena Dental Group of Chicago)
• Fayaz Syed Ather, D.C.
• Tiffany Athey, MSN, APN
• Aravind Athiviraham, M.D.
• Athletic & Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Athletic & Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)

• Interventional Pain Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.