Great Lakes Healthcare, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES HEALTHCARE, LLC.

Practice address

900 N Kingsbury St
Suite 1055
Chicago, IL 60610-7432

Phone

(312) 222-0646

Fax

(312) 222-0647

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George Tong

Title

President

Phone

(312) 832-1844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902964802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N KINGSBURY ST",
            "address_2": "SUITE 1055",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107432",
            "telephone_number": "312-222-0646",
            "fax_number": "312-222-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N KINGSBURY ST",
            "address_2": "SUITE 1055",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107432",
            "telephone_number": "312-222-0646",
            "fax_number": "312-222-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-832-1844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Greal, LCSW
• Great Chicago Smiles, P.C.
• Great Health Pharmacy Inc
• Great Lab Services Inc
• Great Lakes Emergency Physicians Medical Group SC
• Great Lakes Rehabilitation Services Inc.
• Great Paragon Health Care Inc.
• Great Paragon Health Care Inc.
• Greater Chicago Anesthesia LLC
• Greater Chicago Counseling Center

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.