Organization
GREAT LAKES ORTHOPAEDICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK PAPARELLA D.O. (PRESIDENT)
(847) 918-7648
Entity
Organization
Contact information
Practice address
270 E. CENTER DRIVE, SUITE 120, VERNON HILLS, IL 60061-1518
(847) 573-1157
(847) 918-7648
Mailing address
270 E. CENTER DRIVE, SUITE 120, VERNON HILLS, IL 60061-1518
(847) 573-1157
(847) 918-7648
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036073202
IL
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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