Active NPI
Nicholas Angelopoulos DO SC
- Durable Medical Equipment & Medical Supplies
- Tinley Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 036089214
- Legal business name
- NICHOLAS ANGELOPOULOS DO SC
- Practice address
- 6850 Centennial Dr
Tinley Park, IL 60477-1653 - Phone
- (708) 429-3466
- Fax
- (708) 429-3422
- NPI assigned
- Jan 8, 2008
- Last updated
- May 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas A Angelopoulos, DO
- Title
- Owner
- Phone
- (708) 429-3466
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 036089214 | IL | Primary |
Addresses
Primary practice location
6850 Centennial Dr
Tinley Park, IL 60477-1653
Mailing address
6850 Centennial Dr
Tinley Park, IL 60477-1653
Phone (708) 429-3466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056484 | IL | DME Supplier - Physician - Osteopathic Manipulative Medicine | 0749375244 | Practice locations: Tinley Park, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Pain Medicine (Anesthesiology) Physician
- Tinley Park, IL
- NPI 1730371519
0749375244
National Provider Directory
National Provider Directory- Tax ID family
- Nicholas Angelopoulos DO SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Tinley Park, IL
- NPI 1730371519
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.
-
- Pain Medicine (Anesthesiology) Physician
- Tinley Park, IL
- NPI 1205940855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1982889051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 CENTENNIAL DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771653",
"telephone_number": "708-429-3466",
"fax_number": "708-429-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 CENTENNIAL DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771653",
"telephone_number": "708-429-3466",
"fax_number": "708-429-3422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS ANGELOPOULOS DO SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "ANGELOPOULOS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-429-3466",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "036089214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.