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

Grayson Nathaniel Mynatt, DO

Individual provider Family Medicine Physician · NPI 1730757907

Grayson Nathaniel Mynatt, DO is a Family Practice in Chicago, Illinois. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2021, 5 years ago. Works from 2 locations. Licensed in Illinois and Missouri.

Years since qualifying
5
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
IL, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone: (773) 388-1600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 551 Veterans United Dr, Columbia, MO 65201-8397 — (573) 884-7733

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024031283 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036176984 (IL)

Record details

NPI number1730757907
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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