Organization Active NPI

John Drew Gorrell DDS LTD

  • General Practice Dentistry
  • Elk Grove Village, IL
National Provider Identifier
1073785275
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.