Active NPI
Engjellush Sadik
- Family Medicine Physician
- Franklin Park, IL
National Provider Identifier
1497199855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036139243
- Practice address
- 10225 Grand Ave
Franklin Park, IL 60131-3138 - Phone
- (844) 599-3700
- NPI assigned
- Apr 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 036139243 | IL | Primary |
Addresses
Primary practice location
10225 Grand Ave
Franklin Park, IL 60131-3138
Mailing address
370 Summit St
Elgin, IL 60120-3843
Phone (847) 608-1344
Other practice location 1
135 E Irving Park Rd
Streamwood, IL 60107-2950
Phone (844) 599-3700
Other practice location 2
5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161027001129 | IL | Order and Referring Only - Family Practice | 4880972769 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- engjellush.sadik.d1.p1@direct.gefcc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1497199855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 SUMMIT ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601203843",
"telephone_number": "847-608-1344",
"fax_number": "847-841-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10225 GRAND AVE",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601313138",
"telephone_number": "844-599-3700"
}
],
"practiceLocations": [
{
"address_1": "135 E Irving Park Rd",
"address_purpose": "LOCATION",
"city": "Streamwood",
"state": "IL",
"postal_code": "601072950",
"country_code": "US",
"telephone_number": "844-599-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5100 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432281607",
"country_code": "US",
"telephone_number": "614-544-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADIK",
"first_name": "ENGJELLUSH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-28",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036139243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.