Organization Active NPI

Adult & Pediatric Orthopedics, S.C.

  • Orthopaedic Surgery Physician
  • Vernon Hills, IL
National Provider Identifier
1851393532
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ADULT & PEDIATRIC ORTHOPEDICS, S.C.
Practice address
555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111
Phone
(847) 634-9400
Fax
(847) 634-2900
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Ms. Joanne L. Degennaro
Title
Business Office Administrator
Phone
(847) 634-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111

Mailing address

555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111
Phone (847) 634-9400

National Provider Directory

National Provider Directory

Locations

50 S Milwaukee Ave
Ste 201
Lake Villa, IL 60046
Phone (224) 372-7880

2 E Rollins Rd
Ste 201
Round Lake Beach, IL 60073
Phone (847) 201-1000

Practitioners & affiliated clinicians

Practitioners 1

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": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1851393532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CORPORATE WOODS PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613111",
            "telephone_number": "847-634-9400",
            "fax_number": "847-634-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CORPORATE WOODS PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613111",
            "telephone_number": "847-634-9400",
            "fax_number": "847-634-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC ORTHOPEDICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-634-0400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.