OrganizationActive
Adult & Pediatric Orthopedics, S.c.
NPI 1316069651 · Orthopaedic Surgery Physician · Lake Villa, IL
Provider details
- NPI number
- 1316069651
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joanne Degennaro, Business Office Administrator(847) 634-0400
- License
- 042005991 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
50 S Milwaukee Ave
Ste 201
Lake Villa, IL 60046-9471
Phone: (224) 372-7880
Fax: (224) 372-7870
Street-level locationGet directions
Mailing address
50 S Milwaukee Ave Ste 201
Lake Villa, IL 60046-5426
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2014-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.