Gennady Bovkis, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

22-217

Practice address

999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748

Phone

(833) 872-4477

Fax

(630) 323-5625

NPI assigned

Jun 8, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1992499271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE STE 450",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182748",
            "telephone_number": "833-872-4477",
            "fax_number": "630-323-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE STE 450",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182748",
            "telephone_number": "833-872-4477",
            "fax_number": "630-323-5625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781381",
            "country_code": "US",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVKIS",
        "first_name": "GENNADY",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "22-217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bolinder, AT
• Athanasios Bonoris, MD
• Aya Bouabdallaoui
• Laura Boulamatsis
• Dorothy Bourgeois
• Courtney Blum Bowles, LCSW
• Evelyn Gloria Bowman-Goone, DC
• Iancu Bradean, NP
• Larysa Justyna Brandys
• Angela Branson, LCSW

• Surgical Assistant in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.