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Deactivated NPI 1417080771 Deactivated / Inactive NPI Male Practitioner

Dr. John D. Nikitow , DC

Chiropractor • Libertyville, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Nikitow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2007
NPI Deactivation Date June 15, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Nikitow, DC was a registered Chiropractor practicing in Libertyville, IL. Throughout an active medical career spanning 15 years, Dr. Nikitow provided care at the practice location at 207 E PARK AVE until profile deactivation on 2022-06-15.

Practice Location & Contact Primary Location

Practice Address

207 E Park Ave

Libertyville, IL 600482803

Telephone 8475730272

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Libertyville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
31 Specialists

Practicing in Libertyville, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1619161213

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 15, 2022

Record deactivated on June 15, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 207 E PARK AVE, LIBERTYVILLE, IL 600482803 (Tel: 8475730272)

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Updated Business Mailing Address July 08, 2007

Registered at 207 E PARK AVE, LIBERTYVILLE, IL 600482803 (Tel: 8475730272)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN NIKITOW, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor

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Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417080771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Deactivation Date: June 15, 2022

Mailing Address

207 E Park Ave

Libertyville, IL 600482803

Phone: 8475730272

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.