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GREAT LAKES ENDOCRINE AND GENERAL SURGERY LLC
NPI 1295197044
Surgery in Burr Ridge, IL

Active since March 22, 2016
104 CIRCLE RIDGE DR, BURR RIDGE, IL 60527(570) 772-7792 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Endocrine And General Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES ENDOCRINE AND GENERAL SURGERY LLC (NPI 1295197044) is a healthcare organization registered as a surgery in Burr Ridge, Illinois and active in the NPI registry since March 2016. The organization lists Samer Rodwan Rajjoub, President, as its authorized official.

NPPES Registry Identity

NPI1295197044
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGREAT LAKES ENDOCRINE AND GENERAL SURGERY LLC
Location Address104 CIRCLE RIDGE DRBurr Ridge, IL 60527-8379
Mailing Address104 Circle Ridge DrBurr Ridge, IL 60527-8379 · (570) 772-7792
Phone(570) 772-7792
Organization SubpartNo
Authorized OfficialSamer Rodwan RajjoubPresident · (570) 772-7792
Enumeration DateMarch 22, 2016
✔ NPI 1295197044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.098470
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
104 CIRCLE RIDGE DR, Burr Ridge, IL 60527
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SW ANESTHESIOLOGY LIMITED
Specialist
104 CIRCLE RIDGE DR
BURR RIDGE, IL 60527
Dupage County (630) 632-4435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Endocrine And General Surgery LLC's NPI number?

The NPI number for Great Lakes Endocrine And General Surgery LLC is 1295197044. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is Great Lakes Endocrine And General Surgery LLC located?

Great Lakes Endocrine And General Surgery LLC is located at 104 Circle Ridge Dr, Burr Ridge, IL 60527. The listed phone number is (570) 772-7792.

What is Great Lakes Endocrine And General Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Endocrine And General Surgery LLC was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.