Active NPI
Haytham El-Genedy, DC
- Chiropractor
- Bolingbrook, IL
National Provider Identifier
1508261298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012672
- Practice address
- 319 Veterans Pakwy Bolingbrook
Bolingbrook, IL 60490 - Phone
- (630) 649-4632
- NPI assigned
- Oct 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012672 | IL | Primary |
Addresses
Primary practice location
319 Veterans Pakwy Bolingbrook
Bolingbrook, IL 60490
Mailing address
319 Veterans Pakwy Bolingbrook
Auroura, IL 60490
Phone (630) 649-4632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012672 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1508261298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 VETERANS PAKWY BOLINGBROOK",
"city": "AUROURA",
"state": "IL",
"postal_code": "60490",
"telephone_number": "630-649-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 VETERANS PAKWY BOLINGBROOK",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "60490",
"telephone_number": "630-649-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-GENEDY",
"first_name": "HAYTHAM",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
- Edward Hospital Imaging Center Bolingbrook
- Edwards Messaging and Transporation Inc
- Alexander Allan Edwards, PA-C
- Naomi Uvbi Romo Egharevba, PHARMD
- Ehp Sexological and Therapeutic Services, PLLC
- Anna Elagina, LCPC, NCC, CADC
- Elevated Care at Home LLC
- Elevated Care Home Health LLC
- Elijah'S Journey
- Elite Living Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.