# GROSSKOPF ORTHOPEDIC SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255622163
- **Authorized official:** DR. JEFFREY W. GROSSKOPF M.D. (DOCTOR)
- **Authorized official phone:** (630) 402-2128

## Contact information

- **Practice address:** 3805 E MAIN ST, SUITE G, SAINT CHARLES, IL 60174-2487
- **Practice address phone:** (630) 402-2128
- **Practice address fax:** (630) 397-7814
- **Mailing address:** 3805 E MAIN ST, SUITE G, SAINT CHARLES, IL 60174-2487
- **Mailing address phone:** (630) 402-2128
- **Mailing address fax:** (630) 397-7814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036066604 | IL | Yes |

## Other

- **Enumeration date:** 04/26/2011
- **Last updated:** 04/10/2017