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

Grand Medical Clinic, Inc

Organization Surgery Physician · NPI 1457658841

Grand Medical Clinic, Inc is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2158 W Grand Ave Ste 101
Chicago, IL 60612-1571
Phone: (312) 733-9858
Fax: (312) 799-8661
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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 036124389 (IL)

Record details

NPI number1457658841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Garcia — Owner · (312) 733-9858
NPI enumeratedFebruary 21, 2011
Last updated in NPPESFebruary 21, 2011
Mailing address2158 W Grand Ave, Suite 101, Chicago, IL 60612-1571

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