Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adult & Pediatric Orthopedics, SC

Organization Orthopaedic Surgery Physician · NPI 1316069651

Adult & Pediatric Orthopedics, SC is an Orthopaedic Surgery Physician in Lake Villa, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

50 S Milwaukee Ave Ste 201
Lake Villa, IL 60046-9471
Phone: (224) 372-7880
Fax: (224) 372-7870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 042005991 (IL)

Record details

NPI number1316069651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Degennaro — Business Office Administrator · (847) 634-0400
NPI enumeratedApril 6, 2007
Last updated in NPPESNovember 5, 2014
Mailing address50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046-5426