# GREENLEAF ORTHOPAEDIC ASSOCIATES, S.C.

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

## Provider details

- **NPI number:** 1366618043
- **Authorized official:** MS. LINDA H. MILLER (OFFICE MANAGER)
- **Authorized official phone:** (847) 623-3090

## Contact information

- **Practice address:** 151 W GOLF RD, GURNEE, IL 60031-3326
- **Practice address phone:** (847) 623-3090
- **Practice address fax:** (847) 623-9620
- **Mailing address:** 105 N GREENLEAF ST, LIBERTYVILLE, IL 60048-3213
- **Mailing address phone:** (847) 680-4765
- **Mailing address fax:** (847) 680-4798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 10575820 | IL | Yes |

## Other

- **Enumeration date:** 05/02/2008
- **Last updated:** 05/02/2008