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DR. GREGORY THOMAS MINUTILLO MD NPI 1730674003


NPI Information

NPI: 1730674003
Provider Name: DR. GREGORY THOMAS MINUTILLO, MD
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
1611 W HARRISON ST STE 400
CHICAGO, IL
ZIP 60612
Phone: (215) 762-7000
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DR. Gregory Thomas Minutillo, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Chicago, IL with 6 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Gregory Thomas Minutillo, MD NPI is 1730674003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1611 W HARRISON ST STE 400
CHICAGO, IL
ZIP 60612-861
Phone: (215) 762-7000

The NPI 1730674003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery036164505ILLINOISNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery036164505ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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