Individual provider Active NPI

Reda Karaliukas, D.C.

  • Internist Chiropractor
  • Willowbrook, IL
National Provider Identifier
1457503518
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
038.011241 Issued in IL
Practice address
6143 Knollwood Rd
Unit 307
Willowbrook, IL 60527-3216
Phone
(630) 802-3906
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011241 IL
Independent Medical Examiner Chiropractor 111NI0013X 038.011241 IL
Internist Chiropractor 111NI0900X 038.011241 IL Primary
Pediatric Chiropractor 111NP0017X 038.011241 IL

Addresses

Primary practice location

6143 Knollwood Rd
Unit 307
Willowbrook, IL 60527-3216

Mailing address

6143 Knollwood Rd
Unit 307
Willowbrook, IL 60527-3216
Phone (630) 802-3906

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

LicenseStateTypeSpecialty
038.011241ILMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nixi Wellness Chiropractor Past Accepting new patients

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1457503518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 KNOLLWOOD RD",
            "address_2": "UNIT 307",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605273216",
            "telephone_number": "630-802-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 KNOLLWOOD RD",
            "address_2": "UNIT 307",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605273216",
            "telephone_number": "630-802-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARALIUKAS",
        "first_name": "REDA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011241",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "IL",
            "license": "038.011241",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038.011241",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IL",
            "license": "038.011241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.