OrganizationActive
Great Lake Pain Physicians, Ltd.
NPI 1023066420 · Anesthesiology Physician · Gurnee, IL
Provider details
- NPI number
- 1023066420
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kendall Lutz, Billing Manager(847) 836-7015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 S Greenleaf St
Suite a
Gurnee, IL 60031-3398
Phone: (847) 244-6464
Street-level locationGet directions
Mailing address
185 Penny Ave
East Dundee, IL 60118-1454
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.