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He was elected to the episcopacy by the Holy and Sacred Synod of the [[Ecumenical Patriarchate]] of Constantinople in 1969, and consecrated as Bishop of Apameia later that year, and appointed to the Diocese (Seventh District) of Detroit as Bishop of that district. He was enthroned by His Eminence [[Archbishop]] [[Iakovos (Coucouzis) of America|Iakovos]] of the Greek Orthodox Archdiocese of North and South America on [[May 1]], 1979, as the [[Bishop]] of Chicago at the Annunciation Cathedral. In November 1997, the Holy Synod of the Ecumenical Patriarchate elected His Grace Bishop Iakovos of Chicago to the active Metropolitanate of Chicago and [[Exarch]] of Ionias. In this capacity, His Eminence serves the Greek Orthodox Diocese of Chicago as its Presiding Hierarch<!--(PrσedroV)--->.
Beginning his higher education in Athens, Greece, and continuing his studies and service in the Boston area, Metropolitan Iakovos was appointed Archdiocesan [[vicar bishop|Vicar]] of the Diocese of Detroit by Archbishop Iakovos in February 1968. One year later, he was elevated to the rank of Bishop by the Holy See of Constantinople. He was [[consecration|consecrated]] Bishop of Apameia (an Auxiliary Bishop of Archbishop Iakovos) on [[Christmas]] Day of 1969, and appointed to the [[Diocese of Detroit ]] as Bishop of that district.
In 1971 he was appointed President of [[Hellenic College (Brookline, Massachusetts)|Hellenic College]] and [[Holy Cross Greek Orthodox School of Theology (Brookline, Massachusetts)|Holy Cross School of Theology]] in Brookline, Massachusetts, while remaining as administrative overseer of the Diocese of Detroit. He simultaneously served as the Bishop of the New England area during his five-year tenure as President of Hellenic College and Holy Cross School of Theology.