Active NPI
John Drew Gorrell DDS LTD
- General Practice Dentistry
- Elk Grove Village, IL
National Provider Identifier
1073785275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JOHN DREW GORRELL DDS LTD
- Practice address
- 958 Elk Grove Village Town Center
Elk Grove Village, IL 60007 - Phone
- (847) 364-5100
- Fax
- (847) 364-9807
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Drew Gorrell, DDS
- Title
- President
- Phone
- (847) 364-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
958 Elk Grove Village Town Center
Elk Grove Village, IL 60007
Mailing address
958 Elk Grove Village Town Center
Elk Grove Village, IL 60007
Phone (847) 364-5100
National Provider Directory
National Provider DirectoryLocations
958 Elk Grove Town Ctr
Elk Grove Village, IL 60007
Phone (847) 364-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1073785275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 ELK GROVE VILLAGE TOWN CENTER",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "60007",
"telephone_number": "847-364-5100",
"fax_number": "847-364-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 ELK GROVE VILLAGE TOWN CENTER",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "60007",
"telephone_number": "847-364-5100",
"fax_number": "847-364-9807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN DREW GORRELL DDS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "GORRELL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "DREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-364-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.