Great Lake Pain Physicians, LTD.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GREAT LAKE PAIN PHYSICIANS, LTD.

Practice address

200 S Greenleaf St
Suite a
Gurnee, IL 60031-3398

Phone

(847) 244-6464

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kendall R. Lutz

Title

Billing Manager

Phone

(847) 836-7015

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023066420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PENNY AVE",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181454",
            "telephone_number": "847-836-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S GREENLEAF ST",
            "address_2": "SUITE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313398",
            "telephone_number": "847-244-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKE PAIN PHYSICIANS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "847-836-7015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Gouzoules, RN
• Brittney Graboys, PSYD
• Andrea M Grant, OTR/L
• Robert Andrew Grasso Jr., PHARM.D.
• Great Lake Pain Physicians LTD.
• Daniel Joseph Green, M.D.
• Rachael A Greenberg, M.D.
• Abigail K Greene
• Greenleaf Orthopaedic Associates, S.C.
• Greenleaf Orthopaedic Associates, S.C.

• Anesthesiology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.