# GREENLEAF ORTHOPAEDIC ASSOCIATES S C

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

## Provider details

- **NPI number:** 1548437551
- **Authorized official:** MS. LINDA H MILLER (OFFICE MANAGER)
- **Authorized official phone:** (847) 623-3090

## Contact information

- **Practice address:** 2552 N ROUTE 83, ROUND LAKE BEACH, IL 60073
- **Practice address phone:** (224) 444-2050
- **Practice address fax:** (224) 444-2058
- **Mailing address:** 105 N GREENLEAF ST, GURNEE, IL 60031-3326
- **Mailing address phone:** (847) 623-3090
- **Mailing address fax:** (847) 623-9620

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 05/09/2008