# GREAT LAKES ORTHOPAEDICS, S.C.

> 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:** 1407006075
- **Authorized official:** DR. DOMINICK PAPARELLA D.O. (PRESIDENT)
- **Authorized official phone:** (847) 918-7648

## Contact information

- **Practice address:** 270 E. CENTER DRIVE, SUITE 120, VERNON HILLS, IL 60061-1518
- **Practice address phone:** (847) 573-1157
- **Practice address fax:** (847) 918-7648
- **Mailing address:** 270 E. CENTER DRIVE, SUITE 120, VERNON HILLS, IL 60061-1518
- **Mailing address phone:** (847) 573-1157
- **Mailing address fax:** (847) 918-7648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036073202 | IL | Yes |

## Other

- **Enumeration date:** 09/19/2008
- **Last updated:** 09/19/2008