DEMETRIOS BOBOLOS (NPI# 1851701668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851701668 |
| Entity Type | Individual |
| Full Name | DEMETRIOS BOBOLOS |
| Credential | LAC |
| Practice Address |
512 W Burlington Ave Suite 104 La Grange IL 60525-2221 |
| Mailing Address |
5757 N Sheridan Rd 17d Chicago IL 60660-4746 |
| Practice Telephone | 7084697592 |
| Mailing Telephone | 7738352626 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 198.001145 | IL | Other Service Providers |
| Street Address |
512 W BURLINGTON AVE SUITE 104 |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992769822 | Guy Agostino | Specialist | 512 W Burlington Ave, Suite 100, La Grange, IL 60525-2221 | 2006-04-17 |
| 1457898694 | James Christian Zotti | Acupuncturist | 512 W Burlington Ave, Suite 104, La Grange, IL 60525-2221 | 2017-01-26 |
| 1649698267 | Red Aspen Inc. | Acupuncturist | 512 W Burlington Ave, Ste. 104, La Grange, IL 60525-2221 | 2014-04-01 |
| 1780954198 | Devon Marie Acou | Chiropractor | 512 W Burlington Ave, Suite 103, La Grange, IL 60525-2221 | 2012-01-03 |
| 1144358599 | John E. Anderson O.d.,ltd | Optometrist | 512 W Burlington Ave, Suite 106, La Grange, IL 60525-2221 | 2007-02-28 |
| 1164550596 | John Eric Anderson | Optometrist | 512 W Burlington Ave, Suite 106, La Grange, IL 60525-2221 | 2007-02-28 |
| 1205915154 | William H. Gros, Md,sc | Internal Medicine | 512 W Burlington Ave, Suite 100, La Grange, IL 60525-2221 | 2006-11-03 |
| 1316902919 | William H Gros | Specialist | 512 W Burlington Ave, Suite 100, La Grange, IL 60525-2221 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457898694 | James Christian Zotti | Acupuncturist | 512 W Burlington Ave, Suite 104, La Grange, IL 60525-2221 | 2017-01-26 |
| 1649698267 | Red Aspen Inc. | Acupuncturist | 512 W Burlington Ave, Ste. 104, La Grange, IL 60525-2221 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920759 | Burdock & Clove Wellness LLC | Acupuncturist | 2052 W Addison St # 2, Chicago, IL 60618-6126 | 2020-10-23 |
| 1588279178 | Jaclyn Krizek | Acupuncturist | 5006 Main St, Downers Grove, IL 60515-3643 | 2020-09-10 |
| 1033723432 | Chona Estacio | Acupuncturist | 209 Whitewater Dr, Bolingbrook, IL 60440-1744 | 2020-09-02 |
| 1750992442 | Madalen Brooks | Acupuncturist | 1601 Sherman Ave Ste 200, Evanston, IL 60201-5044 | 2020-08-14 |
| 1164033361 | Donna Weisensel | Acupuncturist | 4708 Southhampton Dr, Island Lake, IL 60042-8470 | 2020-08-11 |
| 1700404035 | Kunevich Chiropractic and Acupuncture, Pllc | Acupuncturist | 13 S Main St Ste 3, Smithton, IL 62285-1705 | 2020-07-13 |
| 1053938571 | Anna Maria Degrassi-kalkis | Acupuncturist | 18700 Wolf Rd Ste 211, Mokena, IL 60448-8603 | 2020-06-30 |
| 1134746928 | Irene Joy Walters | Acupuncturist | 11901 S 80th Ave Ste 1, Palos Park, IL 60464-3107 | 2020-06-29 |
| 1932726767 | Crystalyn Gembala Sehr | Acupuncturist | 1191 E Higgins Rd Ste 201, Elk Grove Village, IL 60007-1563 | 2020-06-27 |
| 1689291684 | Erin Ryan | Acupuncturist | 457 Coventry Ln Ste 122, Crystal Lake, IL 60014-7571 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEMETRIOS BOBOLOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.