OrganizationActive
Great Lakes Endocrine and General Surgery LLC
NPI 1295197044 · Surgery Physician · Burr Ridge, IL
Provider details
- NPI number
- 1295197044
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samer Rajjoub, President(570) 772-7792
- License
- 036.098470 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
104 Circle Ridge Dr
Burr Ridge, IL 60527-8379
Phone: (570) 772-7792
Street-level locationGet directions
Mailing address
104 Circle Ridge Dr
Burr Ridge, IL 60527-8379
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2016-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.