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DR. THEODOROS MIKROULIS D.C.
NPI 1316997554
Chiropractor in Lyons, IL

Active since May 10, 2006Accepts Medicare Assignment
3840 HARLEM AVE, LYONS, IL 60534(708) 442-3050(708) 442-3058 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Theodoros Mikroulis D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODOROS MIKROULIS D.C. (NPI 1316997554) is an individual chiropractor in Lyons, Illinois and active in the NPI registry since May 2006. He is a graduate of National College Of Chiropractic (2002).

NPPES Registry Identity

NPI1316997554
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. THEODOROS MIKROULISCredential: D.C.
Location Address3840 HARLEM AVELyons, IL 60534-1289
Mailing Address3840 Harlem AveLyons, IL 60534-1289 · (708) 442-3050 · Fax (708) 442-3058
Phone(708) 442-3050
Fax(708) 442-3058
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 2002
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1316997554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3840 HARLEM AVE, Lyons, IL 60534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodoros Mikroulis D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800860958
PECOS Enrollment IDI20040824000643

Medicare Billing Reassignment

Medicare enrollment records show Theodoros Mikroulis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health Center Ltd
Same address
Chiropractor
3842-44 HARLEM AVE
Lyons, IL 60534
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1811948078 (708) 442-3050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED PHYSICAL MEDICINE ASSOCIATES, SC
Physical Medicine & Rehabilitation
3840 HARLEM AVE
LYONS, IL 60534
Cook County (630) 924-1450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodoros Mikroulis's NPI number?

The NPI number for Theodoros Mikroulis is 1316997554. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Theodoros Mikroulis located?

Theodoros Mikroulis practices at 3840 Harlem Ave, Lyons, IL 60534. The listed phone number is (708) 442-3050.

What is Theodoros Mikroulis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Theodoros Mikroulis enrolled in Medicare?

Yes. Theodoros Mikroulis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Theodoros Mikroulis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodoros Mikroulis reassigns Medicare benefits to Multicare Health Center Ltd (Lyons, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodoros Mikroulis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodoros Mikroulis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.