Active NPI
Anthony Alex Gentile, D.C.
- Chiropractor
- Elmhurst, IL
National Provider Identifier
1801808399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 287 W Butterfield Rd
Elmhurst, IL 60126-5037 - Phone
- (630) 833-1455
- NPI assigned
- Aug 12, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
287 W Butterfield Rd
Elmhurst, IL 60126-5037
Mailing address
287 W Butterfield Rd
Elmhurst, IL 60126-5037
Phone (630) 833-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1682441 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000791 | IL | Practitioner - Chiropractic | 0244273043 | Practice locations: Elmhurst, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-003734 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801808399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 W BUTTERFIELD RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265037",
"telephone_number": "630-833-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 W BUTTERFIELD RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265037",
"telephone_number": "630-833-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "ANTHONY",
"middle_name": "ALEX",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1682441",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.