GB Bodywork

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

198001173 Issued in IL

Legal business name

GB BODYWORK

Practice address

7975 N Nordica Ave
Niles, IL 60714-3315

Phone

(847) 366-9518

NPI assigned

Jun 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gennady BoldetskyNPI 1407258510

Title

President

Phone

(847) 366-9518

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gennady Boldetsky

  • Acupuncturist
  • Wheeling, IL
  • NPI 1407258510
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1104239623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N NORDICA AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143315",
            "telephone_number": "847-366-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N NORDICA AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143315",
            "telephone_number": "847-366-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GB BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "BOLDETSKY",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-366-9518"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "198001173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Garrison, M.S, CCC-SLP
• Gastroenterology and Liver Disease Associates LLC
• Earl Vincent Gatdula, PHARMD
• Tricia Martin Gatia, PT, DPT
• Joseph John Gatza, D.C.
• Generation Vein Clinic LLC
• Generations at Regency, LLC
• Generations at Regency, LLC
• Jerry George, MS, OTR/L
• Samaya Thomas George, RRT

• Health Service Clinic/Center in Niles, IL
• Providers in Niles, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.