Dr Peter Neofotistos, DC is a
Chiropractor based in Chicago Heights, Illinois. Dr Peter Neofotistos is licensed to practice in Illinois (license number 038012580) and his current practice location is
20919 Western Ave, Chicago Heights, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 898-0800.
NPI number for Dr Peter Neofotistos is 1508289745 and his current mailing address is 570 Village Center Dr Ste 205, Burr Ridge, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508289745.
Healthcare Provider's Profile
| Full Name | Dr Peter Neofotistos |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 20919 Western Ave, Chicago Heights, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508289745
- Provider Enumeration Date: 01/23/2014
- Last Update Date: 09/01/2021
Medical Identifiers
Medical identifiers for Dr Peter Neofotistos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508289745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | 038012580 (Illinois) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 038012580 (Illinois) | Secondary |
| 111NX0100X | Chiropractor - Occupational Health | 038012580 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038012580 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Neofotistos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Peter Neofotistos, DC
570 Village Center Dr Ste 205,
Burr Ridge, IL 60527-4526
Ph: (630) 920-4670 | Dr Peter Neofotistos, DC
20919 Western Ave,
Chicago Heights, IL 60411
Ph: (708) 898-0800 |
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