County Of Lake
Specialty details in registry · Park City, IL
At a glance
4120 Greenleaf Ct Apt 311, Park City, IL 60085-7932
NPPES record updated Sep 29, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4120 Greenleaf Ct Apt 311Park City, IL 60085-7932
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0801X
- Enumeration date
- Sep 23, 2026
- Record updated
- Sep 29, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0801X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4120 Greenleaf Ct Apt 311Park City, IL 60085-7932
- Phone
- (847) 377-8000
Mailing address
3010 GRAND AVEWAUKEGAN, IL 600852321
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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