Individual provider Active NPI

Spyros Bakis, D.C., C.C.S.P.

  • Neurology Chiropractor
  • Chicago, IL
National Provider Identifier
1508998170
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
038-006760 Issued in IL
Practice address
16 N Peoria St
Chicago, IL 60607-2609
Phone
(312) 346-9355
Fax
(847) 470-0368
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 038-006760 IL
Neurology Chiropractor 111NN0400X 038-006760 IL Primary

Addresses

Primary practice location

16 N Peoria St
Chicago, IL 60607-2609

Mailing address

8424 Skokie Blvd Ste 207
Skokie, IL 60077-2568
Phone (847) 470-1177

Other practice location 1

5818 W. Dempster St.
Morton Grove, IL 60053
Phone (847) 470-1177

Other practice location 2

8424 Skokie Blvd Ste 207
Skokie, IL 60077-2568
Phone (847) 470-1177

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
038-006760ILMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glenview Counseling Group CurrentSince Jan 1, 2024 Accepting new patients

Locations

3633 W Lake Ave
Ste 105
Glenview, IL 60026
Phone (847) 470-1177

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1508998170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 SKOKIE BLVD STE 207",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772568",
            "telephone_number": "847-470-1177",
            "fax_number": "847-470-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N PEORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072609",
            "telephone_number": "312-346-9355",
            "fax_number": "847-470-0368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5818 W. Dempster St.",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "60053",
            "country_code": "US",
            "telephone_number": "847-470-1177",
            "fax_number": "847-470-0368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8424 Skokie Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600772568",
            "country_code": "US",
            "telephone_number": "847-470-1177",
            "fax_number": "847-470-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKIS",
        "first_name": "SPYROS",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-006760",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038-006760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.