Active NPI
Genesis Orthopedics & Sports Medicine LLC
Doing business as Genesis Orthopedics & Sports Medicine DME
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC
- Doing business as
- Genesis Orthopedics & Sports Medicine DME
- Practice address
- 2425 W 22ND St Ste 212
Oak Brook, IL 60523-4658 - Phone
- (630) 377-1188
- Fax
- (630) 377-7360
- NPI assigned
- Feb 28, 2018
- Last updated
- Nov 17, 2023
- Organization subpart
- Yes
- Parent organization
- GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hythem P Shadid
- Title
- President
- Phone
- (630) 377-1188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2425 W 22ND St Ste 212
Oak Brook, IL 60523-4658
Mailing address
2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Phone (630) 377-1188
Other practice location 1
1044 N Francisco Ave Ste 405
Chicago, IL 60622-2743
Phone (630) 377-1188
Other practice location 2
2825 Foxfield Rd Ste 200
St Charles, IL 60174-5734
Phone (630) 377-1188
Other practice location 3
2641 W Harrison St
Chicago, IL 60612-3420
Phone (630) 377-1188
Other practice location 4
4111 W 26th St Ste 200
Chicago, IL 60623-4992
Phone (630) 377-1188
Other practice location 5
4709 Golf Rd Ste 1220
Skokie, IL 60076-1231
Phone (630) 377-1188
Other practice location 6
1125 Westgate St
Oak Park, IL 60301-1007
Phone (630) 377-1188
Other practice location 7
1 Erie Ct Ste 7050
Oak Park, IL 60302-2510
Phone (630) 377-1188
Other practice location 8
645 S Central Ave
Chicago, IL 60644-5059
Phone (630) 377-1188
Other practice location 9
200 S Greenleaf St Ste A
Gurnee, IL 60031-3398
Phone (630) 377-1188
Other practice location 10
2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Phone (630) 377-1188
Other practice location 11
1315 N Highland Ave Ste 201
Aurora, IL 60506-1460
Phone (630) 377-1188
Other names 1
- Genesis Orthopedics & Sports Medicine DME
National Provider Directory
National Provider Directory- Part of
- Genesis Orthopedics Sports Medicine LLC
Locations
1315 N Highland Ave
Ste 201
Aurora, IL 60506
Phone (630) 229-6708
1044 N Francisco Ave
Ste 405
Chicago, IL 60622
1841 N Laramie Ave
Chicago, IL 60639
2641 W Harrison St
Chicago, IL 60612
Phone (708) 264-1919
2859 S Pulaski Rd
Chicago, IL 60623
Phone (773) 762-3333
4111 W 26th St
Ste 200
Chicago, IL 60623
2311 W 22nd St
Ste 103
Oak Brook, IL 60523
2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333
2425 W 22nd St
Ste 207A
Oak Brook, IL 60523
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- St Charles, IL
- NPI 1346389061
Practitioners & affiliated clinicians
Practitioners 40
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- St Charles, IL
- NPI 1477567394
-
- Occupational Therapist
- Lombard, IL
- NPI 1619731106
-
- Physician Assistant
- Warrenville, IL
- NPI 1841769510
-
- Orthopaedic Surgery Physician
- Oak Park, IL
- NPI 1437231057
-
- Medical Physician Assistant
- Evanston, IL
- NPI 1174707004
-
- Occupational Therapist
- Oak Lawn, IL
- NPI 1124757752
-
- Physical Therapist
- Glenview, IL
- NPI 1063227270
-
- Hand Occupational Therapist
- St Charles, IL
- NPI 1447008313
-
- Podiatrist
- Chicago, IL
- NPI 1154784486
-
- Physical Therapist
- Chicago, IL
- NPI 1073226510
-
- Pediatric Occupational Therapist
- Rolling Meadows, IL
- NPI 1619526365
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1396310058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1467954016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD STE 102",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 W 22ND ST STE 212",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605234658",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360"
}
],
"practiceLocations": [
{
"address_1": "1044 N Francisco Ave Ste 405",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606222743",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2825 Foxfield Rd Ste 200",
"address_purpose": "LOCATION",
"city": "St Charles",
"state": "IL",
"postal_code": "601745734",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2641 W Harrison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123420",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4111 W 26th St Ste 200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606234992",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4709 Golf Rd Ste 1220",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600761231",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 Westgate St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603011007",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Erie Ct Ste 7050",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603022510",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "645 S Central Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606445059",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 S Greenleaf St Ste A",
"address_purpose": "LOCATION",
"city": "Gurnee",
"state": "IL",
"postal_code": "600313398",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Foxfield Rd Ste 102",
"address_purpose": "LOCATION",
"city": "St Charles",
"state": "IL",
"postal_code": "601745799",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1315 N Highland Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605061460",
"country_code": "US",
"telephone_number": "630-377-1188",
"fax_number": "630-377-7360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC",
"enumeration_date": "2018-02-28",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A",
"authorized_official_last_name": "SHADID",
"authorized_official_first_name": "HYTHEM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-377-1188"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Orthopedics & Sports Medicine DME",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.