GREATHOUSE MEDICAL GROUP SC NPI 1851827349

NPI Information

NPI: 1851827349
Provider Name: GREATHOUSE MEDICAL GROUP SC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1890 SILVER CROSS BLVD STE 550
NEW LENOX, IL
ZIP 60451
Phone: (708) 264-8463
Get Directions

GREATHOUSE MEDICAL GROUP SC is a primary care clinic center in New Lenox, IL. GREATHOUSE MEDICAL GROUP SC NPI is 1851827349. The provider is registered as an organization entity type.

The provider's business location address is:

1890 SILVER CROSS BLVD STE 550
NEW LENOX, IL
ZIP 60451-579
Phone: (708) 264-8463

The provider's authorized official is Deirdra Greathouse .
The authorized official title is President and has the following contact phone number (708) 264-8463.

The enumeration date for this NPI number is 5/4/2017 and was last updated on 5/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036114405	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »