Peter Neofotistos, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012580 Issued in IL

Practice address

3327 Vollmer Rd Ste B
Flossmoor, IL 60422-2091

Phone

(708) 999-9999

NPI assigned

Jan 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Physical Therapy PC

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1336127117
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1508289745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 VOLLMER RD STE B",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222091",
            "telephone_number": "708-243-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 VOLLMER RD STE B",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222091",
            "telephone_number": "708-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEOFOTISTOS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "IL",
            "license": "038012580",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038012580",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038012580",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jean Murtaugh, CRNA
• Saja Mustafa Ali, MD
• Jaime Myler
• Sameh Nabelsi, M.D.
• Max Edward Nayden, P.T.
• Arsenia M Nepomuceno, MD
• Edilberto E Nepomuceno Jr., MD
• Evanee Neville, LCSW
• Anila Nijhawan, R.D.
• Aisha A Nix-Hughes, RDN

• Chiropractor in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.