Active NPI
Genti Manco
- Family Nurse Practitioner
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209014660
- Practice address
- 675 W North Ave Ste 402
Melrose Park, IL 60160-1624 - Phone
- (708) 450-4551
- NPI assigned
- Aug 3, 2016
- Last updated
- Jun 17, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014660 | IL | Primary |
Addresses
Primary practice location
675 W North Ave Ste 402
Melrose Park, IL 60160-1624
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430
400 N May St
Suite 201
Chicago, IL 60642-6495
Phone (888) 491-6729
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evohome Medical Corporation | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
400 N May St
Ste 201
Chicago, IL 60642
Phone (888) 491-6729
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
1101 E State St
Geneva, IL 60134
Phone (630) 232-7544
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367
Interoperability endpoints
- gmanco49735@direct.acumenmd.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba EvoHome Medical Group
- General Practice Physician
- Chicago, IL
- NPI 1346036720
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Schaumburg, IL
- NPI 1487834123
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1760936090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231563",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE STE 402",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601624",
"telephone_number": "708-450-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCO",
"first_name": "GENTI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209014660",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St Ste 200",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.
- 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.