Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Endocrine and General Surgery LLC

Organization Surgery Physician · NPI 1295197044

Great Lakes Endocrine and General Surgery LLC provides Surgery Physician services in Burr Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Circle Ridge Dr
Burr Ridge, IL 60527-8379 Not confirmed with CMS for 10 years — call before visiting
Phone: (570) 772-7792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.098470 (IL)

Record details

NPI number1295197044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samer Rajjoub — President · (570) 772-7792
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016
Mailing address104 Circle Ridge Dr, Burr Ridge, IL 60527-8379

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