Greenleaf Orthopaedic Associates, S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

10575820 Issued in IL

Legal business name

GREENLEAF ORTHOPAEDIC ASSOCIATES, S.C.

Practice address

151 W Golf Rd
Gurnee, IL 60031-3326

Phone

(847) 623-3090

Fax

(847) 623-9620

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Linda H. Miller

Title

Office Manager

Phone

(847) 623-3090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1366618043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N GREENLEAF ST",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483213",
            "telephone_number": "847-680-4765",
            "fax_number": "847-680-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W GOLF RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313326",
            "telephone_number": "847-623-3090",
            "fax_number": "847-623-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF ORTHOPAEDIC ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-623-3090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "10575820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.