Individual provider Active NPI

Waleed A Gabr, DC

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1346325453
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009289 Issued in IL
Practice address
319B South Veterans Parkway
Alshifa Health Center
Bolingbrook, IL 60440
Phone
(630) 679-0276
Fax
(630) 679-0316
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009289 IL Primary

Addresses

Primary practice location

319B South Veterans Parkway
Alshifa Health Center
Bolingbrook, IL 60440

Mailing address

2700 S Rochester Rd
Ste B
Rochester Hills, MI 48307-4547
Phone (947) 252-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000446 IL Practitioner - Chiropractic 7719872803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 Veterans Pkwy
B
Bolingbrook, IL 60490-3132
Phone (630) 679-0276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009289ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare LLC CurrentSince Feb 2, 2021 Accepting new patients
Al-Shifa Health Center P C Chiropractor CurrentSince Oct 1, 2003 Accepting new patients
Sana & Saba Medical Center LTD. Past Accepting new patients
All-Care Medical Group, Inc Chiropractor Past Accepting new patients

Locations

319 Veterans Pkwy
#B
Bolingbrook, IL 60490
Phone (630) 679-0276

2700 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 212-0777

2700 S Rochester Rd
Ste B
Rochester Hills, MI 48307
Phone (248) 212-0336

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1346325453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S ROCHESTER RD",
            "address_2": "STE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074547",
            "telephone_number": "947-252-2002",
            "fax_number": "248-575-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319B SOUTH VETERANS PARKWAY",
            "address_2": "ALSHIFA HEALTH CENTER",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-679-0276",
            "fax_number": "630-679-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABR",
        "first_name": "WALEED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.