DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACEWAY MEDICAL CENTER LTD

MEDICARE: GRACEWAY MEDICAL CENTER LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianIL
2208000000XPediatrics PhysicianIL

General Provider Information

NPI Number : 1962566620
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACEWAY MEDICAL CENTER LTD
Provider Business Mailing Address
First Line : 3111 W ARMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-3818
Country : US
Telephone Number : 773-394-5260
Fax Number : 773-394-5271
Provider Business Practice Location Address
First Line : 4108 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2007
Country : US
Telephone Number : 773-929-4544
Fax Number : 773-929-7132
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : LEE BURSTEIN
Credential :
Telephone Number : 773-394-5260
Provider Enumeration Date : 12/20/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1407837040 — ANNA M PETROV DPM
Practice Location Address:
4108 N SHERIDAN RD
CHICAGO, IL
60613-2007
Practice Phone: 773-244-6517
Practice Fax: 773-244-6531
1386667269 — ANNA PETROV DPM SC
Practice Location Address:
4108 N SHERIDAN RD
CHICAGO, IL
60613-2007
Practice Phone: 773-244-6517
Practice Fax: 773-244-6531
1326119876 — DR. FRANK T.Y. FENG DMD
Practice Location Address:
4108 N SHERIDAN RD
CHICAGO, IL
60613-2007
Practice Phone: 773-549-6116
Practice Fax: 773-549-8109
1114063120 — DR. ALLA CHIKHMAN M.D.
Practice Location Address:
4108 N SHERIDAN RD
CHICAGO, IL
60613-2007
Practice Phone: 773-929-4544
Practice Fax: 773-929-4544
1467587949 — WALTER FRIBERG MD
Practice Location Address:
4108 N SHERIDAN RD
CHICAGO, IL
60613-2007
Practice Phone: 773-529-4913
Practice Fax:
1184826935 — ELITE DENTAL LTD
Practice Location Address:
4142 N SHERIDAN RD
CHICAGO, IL
60613-2007
Practice Phone: 773-348-6600
Practice Fax: 773-975-6245

Directions to “GRACEWAY MEDICAL CENTER LTD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.