Michael Christakos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.011610 Issued in IL

Practice address

17577 Kedzie Ave
205
Hazel Crest, IL 60429-2051

Phone

(708) 250-0520

NPI assigned

Oct 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1811447337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 ANN MARIE LN",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523216",
            "telephone_number": "708-927-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17577 KEDZIE AVE",
            "address_2": "205",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292051",
            "telephone_number": "708-250-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTAKOS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Cheeks, FNP
• Ann Marie Chesla, SLP
• Jacqueline E. Chester-Stanton
• Children'S Home and Aid
• Trina Chiuye, RN
• Christopher T. Kardasis M.D., S.C.
• Citadel Estates-Hazel Crest, LLC
• Ginger Yvonne Clinton, MD
• Beth Ann Cloud, C.O.T.A./L.
• Bridget Cole

• Professional Counselor in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.