NPI 1265487508

Gregory Portland, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Glenview, IL

Practice location

Address: 2401 Ravine Way Suite 200, Glenview, IL 60025-7645
Phone: (847) 998-5680
Mailing address: 900 Rand Rd STE 300 Attn: Raquel Leon, Des Plaines, IL 60016-2359

Registered specialties (2)

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 036-103091 (IL)

Other Orthopaedic Surgery providers in Illinois →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 036-103091 (IL)

Registry record

NPI: 1265487508
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2006
Record last updated: 30 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.