Great Lakes Orthopaedics, S.c.

NPI 1407006075 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1407006075
Enumeration Date 09/19/2008
Last Updated 09/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DOMINICK DOMINICK
Position PRESIDENT
Phone (847) 573-1157
Fax (847) 918-7648
Practice Location
270 E. CENTER DRIVE
SUITE 120
VERNON HILLS IL, 60061-1518, US
Phone (847) 573-1157
Fax (847) 918-7648
Business Location
270 E. CENTER DRIVE
SUITE 120
VERNON HILLS IL, 60061-1518, US
Phone (847) 573-1157
Fax (847) 918-7648
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 036073202
Remove 1407006075 NPI Number
 

According to our database, Great Lakes Orthopaedics, S.c. NPI is 1407006075, taxonomy code is 207X00000X and license number is 036073202, license state is located at Illinois. Great Lakes Orthopaedics, S.c. physically located at 270 E. Center Drive, Vernon Hills IL, 60061-1518. NPI Number 1033115704 has the healthcare provider type.

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1407006075 NPI number is provided on an as is basis without warranty of any kind. 1407006075 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Orthopaedics, S.c. are for informational purposes only.