Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104143312 Deactivated / Inactive NPI Male Practitioner

Dr. Alexander Paul Pantazonis , DC

Chiropractor • Peoria, 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. Alexander Pantazonis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2010
NPI Deactivation Date March 29, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Pantazonis, DC was a registered Chiropractor practicing in Peoria, IL. Throughout an active medical career spanning 13 years, Dr. Pantazonis provided care at the practice location at 7310 N VILLA LAKE DR STE D until profile deactivation on 2023-03-29.

Practice Location & Contact Primary Location

Practice Address

7310 N Villa Lake Dr Ste D

Peoria, IL 616148268

Telephone 3096919767
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
79 Specialists

Practicing in Peoria, 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

State License IL 038.011568

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

5 Associated Practitioners
NPI 1134778418

Doctor of Chiropractic

NPI 1205293446

Doctor of Chiropractic

NPI 1548633597

Doctor of Chiropractic

NPI 1952436180

Doctor of Chiropractic

NPI 1982793881

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 March 29, 2023

Record deactivated on March 29, 2023

NPI Profile Active April 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2010

Registered at 7310 N VILLA LAKE DR STE D, PEORIA, IL 616148268 (Tel: 3096919767)

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Updated Business Mailing Address April 27, 2010

Registered at 7310 N VILLA LAKE DR STE D, PEORIA, IL 616148268 (Tel: 3096919767)

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Provider Name / Credentials Updated April 27, 2010

Recorded as ALEXANDER PANTAZONIS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2010

Chiropractor (License #038.011568 in IL)

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Initial NPI Registration & Enumeration April 27, 2010

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: 1104143312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2010
Last Update: April 27, 2010
Deactivation Date: March 29, 2023

Mailing Address

7310 N Villa Lake Dr Ste D

Peoria, IL 616148268

Phone: 3096919767

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.