GREATHOUSE MEDICAL GROUP SC


Address: 1890 Silver Cross Blvd Ste 550, New Lenox, IL 60451-9579
Phone: 7082648463

GREATHOUSE MEDICAL GROUP SC (NPI# 1851827349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851827349
Entity Type Organization
Organization Name GREATHOUSE MEDICAL GROUP SC
Practice Address 1890 Silver Cross Blvd Ste 550
New Lenox
IL 60451-9579
Mailing Address 1531 Dunbar St
Flossmoor
IL 60422-4380
Practice Telephone 7082648463
Enumeration Date 2017-05-04
Last Update Date 2017-05-04
Authorized Official Name DR. DEIRDRA GREATHOUSE (PRESIDENT)
Authorized Official Telephone 7082648463
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
036114405 IL Ambulatory Health Care Facilities

Office Location

Street Address 1890 SILVER CROSS BLVD STE 550
City NEW LENOX
State IL
Zip Code 60451-9579

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467667659 Forefront Adult & Pediatric Care Clinic/Center 1938 E Lincoln Hwy Ste 106, New Lenox, IL 60451-3927 2007-05-11
1114370517 Zafer Jawich Md Sc Clinic/Center 1890 Silver Cross Blvd, Ste 350, New Lenox, IL 60451-9524 2016-07-20
1932469236 Health Service Systems, Inc. Clinic/Center 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 2012-05-21

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1538792221 Greenbax Health Solutions, LLC Clinic/Center 4922 W Chicago Ave, Chicago, IL 60651-3142 2020-02-20
1548808728 Unitypoint Health At Work Clinic/Center 1100 13th Ave, East Moline, IL 61244-1455 2019-12-18
1265076749 Inhome Primecare LLC Clinic/Center 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 2019-10-29
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1356814503 Thompson Medical Incorporated Clinic/Center 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 2019-01-09
1598248106 Granite City Clinic Corp Clinic/Center 602 Farrish St, Madison, IL 62060-1567 2018-09-10
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Competitor

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City NEW LENOX
Zip Code 60451

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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