Healthcare Provider Details

I. General information

NPI: 1265585400
Provider Name (Legal Business Name): THE MCGRATH CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14400 JOHN HUMPHREY DR SUITE 200
ORLAND PARK IL
60462-2897
US

IV. Provider business mailing address

5320 N SHERIDAN RD APT. 2502
CHICAGO IL
60640-2533
US

V. Phone/Fax

Practice location:
  • Phone: 708-226-1360
  • Fax:
Mailing address:
  • Phone: 773-506-0087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. FILOGONIO MOISES GAVIRIA
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 708-226-1360