Gregory Portland in Glenview - Sports Medicine

Gregory Portland - NPI 1265487508

Gregory Portland is a Sports Medicine in Glenview, Illinois. Gregory Portland practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Gregory Portland is 1265487508. The last update date is 2013-01-30.

Gregory Portland's current location address is 2401 Ravine Way, Glenview, Illinois. You can contact this provider via phone number 8479985680. The mailing address for Gregory Portland is 2401 Ravine Way, Glenview, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Portland
Address 2401 Ravine Way, Glenview, Illinois
Phone Number 8479985680
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265487508
Provider Enumeration Date 2006-05-24
Last Updated Date 2013-01-30

Provider Mailing Address Detail

Address 2401 Ravine Way
City Glenview
State Illinois (IL)
Post Code 600257645
Phone Number 8479985680
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 036-103091
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
036-103091 IL --

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FAQs about Gregory Portland

What is the Gregory Portland's 1265487508?

The Gregory Portland's NPI (National Provider Identifier) Number is 1265487508. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gregory Portland's facilities are situated?

The facilities of Gregory Portland are physically located at the following address: 2401 Ravine Way, Glenview, IL, 600257645.

What is Gregory Portland's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gregory Portland is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.

On what date did Gregory Portland receive its 1265487508 assignment from the Centers for Medicare & Medicaid Services?

The Gregory Portland was assigned its 1265487508 on 2006-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Gregory Portland most recently updated or refreshed?

The details pertaining to the Gregory Portland, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-30.

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