Gurnee Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021000786 Issued in IL

Legal business name

GURNEE ORTHODONTICS LLC

Practice address

101 S Greenleaf St
Unit E
Gurnee, IL 60031-3369

Phone

(847) 249-1000

Fax

(847) 249-1001

NPI assigned

Mar 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Terry Sellke, DDS MS

Title

President

Phone

(847) 249-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1306188305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N SLUSSER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303662",
            "telephone_number": "847-249-1000",
            "fax_number": "847-249-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S GREENLEAF ST",
            "address_2": "UNIT E",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313369",
            "telephone_number": "847-249-1000",
            "fax_number": "847-249-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURNEE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "SELLKE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-249-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griselda Guerra, LSW
• Gurnee Counseling Center
• Gurnee Dental Arts
• Gurnee Dental Care, LLC
• Gurnee Eye Care, P.C.
• Gurnee Pediatrics, S.C.
• Gurnee Physical Medicine LTD
• Gurnee Radiology Center, LLC
• Gurnee School District 56
• Gurnee Stone Medical Center P.C

• Orthodontics and Dentofacial Orthopedics Dentistry in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.