Organization Active NPI

Complete Orthopaedic Care, LLC.

  • Specialist
  • Lincolnshire, IL
National Provider Identifier
1174686133
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMPLETE ORTHOPAEDIC CARE, LLC.
Practice address
100 Village GRN
Ste 120
Lincolnshire, IL 60069-3094
Phone
(847) 634-2266
Fax
(847) 634-2894
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mrs. Rosie Dussault, R.N.
Title
Director of Medical Services
Phone
(847) 634-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

100 Village GRN
Ste 120
Lincolnshire, IL 60069-3094

Mailing address

100 Village GRN
Ste 120
Lincolnshire, IL 60069-3094
Phone (847) 634-2266

National Provider Directory

National Provider Directory

Locations

100 Village Grn
Ste 100
Lincolnshire, IL 60069
Phone (847) 634-1766

100 Village Grn
Ste 120A
Lincolnshire, IL 60069
Phone (847) 634-1766

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1174686133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN",
            "address_2": "STE 120",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693094",
            "telephone_number": "847-634-2266",
            "fax_number": "847-634-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN",
            "address_2": "STE 120",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693094",
            "telephone_number": "847-634-2266",
            "fax_number": "847-634-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE ORTHOPAEDIC CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "DUSSAULT",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL SERVICES",
        "authorized_official_telephone_number": "847-634-2266",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.