# HEALTH ONE MEDICAL CENTER SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770777583
- **Authorized official:** DR. SPYROS BAKIS D.C. (PRESIDENT)
- **Authorized official phone:** (847) 470-1177

## Contact information

- **Practice address:** 8424 SKOKIE BLVD STE 207, SKOKIE, IL 60077
- **Practice address phone:** (847) 470-1177
- **Practice address fax:** (847) 470-0368
- **Mailing address:** 8424 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2568
- **Mailing address phone:** (847) 470-1177
- **Mailing address fax:** (847) 470-0368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038006760 | IL | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 10/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 572220 | MEDICARE PROVIDER NUMBER | IL |