JOHN KLIMEDIOTIS D.C.
NPI 1457363533
Chiropractor in Park Ridge, IL

Active since August 13, 2006
3 S PROSPECT AVE, SUITE 8, PARK RIDGE, IL 60068(847) 296-0505(848) 827-1037 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Klimediotis D.c. NPPES

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

JOHN KLIMEDIOTIS D.C. (NPI 1457363533) is an individual chiropractor in Park Ridge, Illinois, licensed in Illinois (038-008803) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1457363533
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOHN KLIMEDIOTISCredential: D.C.
Location Address3 S PROSPECT AVE, SUITE 8Park Ridge, IL 60068-4177
Mailing Address3 S Prospect Ave, Suite 8Park Ridge, IL 60068-4177 · (847) 296-0505 · Fax (848) 827-1037
Fax(848) 827-1037
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateOctober 5, 2012
✔ NPI 1457363533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-008803
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.
3 S PROSPECT AVE, Park Ridge, IL 60068

Other Identifiers 3

Medicare PINK36531IL
Medicare PIN214941IL
Medicare UPINU98488IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Klimediotis D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Chiropractor
1420 RENAISSANCE DR, SUITE 207
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: John Klimediotis Sc

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 2

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

Dentist (General Practice)
3 S PROSPECT AVE, SUITE 5
PARK RIDGE, IL 60068
Counselor (Professional)
3 S PROSPECT AVE
PARK RIDGE, IL 60068

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 John Klimediotis's NPI number?

The NPI number for John Klimediotis is 1457363533. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is John Klimediotis located?

John Klimediotis practices at 3 S Prospect Ave Suite 8, Park Ridge, IL 60068. The listed phone number is (847) 296-0505.

What is John Klimediotis's specialty?

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

Is John Klimediotis enrolled in Medicare?

Yes. John Klimediotis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Klimediotis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Klimediotis reassigns Medicare benefits to John Klimediotis S.C. (Park Ridge, 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 John Klimediotis'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 John Klimediotis was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.