NPIMap

Organization Active NPI

Health One Medical Center SC

  • Clinic/Center
  • Skokie, IL
National Provider Identifier
1770777583
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038006760 Issued in IL
Legal business name
HEALTH ONE MEDICAL CENTER SC
Practice address
8424 Skokie Blvd Ste 207
Skokie, IL 60077
Phone
(847) 470-1177
Fax
(847) 470-0368
NPI assigned
Sep 5, 2007
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Dr. Spyros Bakis, D.C.NPI 1508998170
Title
President
Phone
(847) 470-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038006760 IL Primary

Addresses

Primary practice location

8424 Skokie Blvd Ste 207
Skokie, IL 60077

Mailing address

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

Other practice location 1

5818 Dempster St
Morton Grove, IL 60053-3027
Phone (847) 470-1177

Other identifiers 1

IdentifierTypeStateIssuer
572220OtherILMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1770777583",
    "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": "8424 SKOKIE BLVD STE 207",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-470-1177",
            "fax_number": "847-470-0368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5818 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600533027",
            "country_code": "US",
            "telephone_number": "847-470-1177",
            "fax_number": "847-470-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH ONE MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "BAKIS",
        "authorized_official_first_name": "SPYROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-470-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038006760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "572220",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.