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

Graceway Medical Center Ltd

Organization Family Medicine Physician · NPI 1962566620

Graceway Medical Center Ltd provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4108 N Sheridan Rd
Chicago, IL 60613-2007
Phone: (773) 929-4544
Fax: (773) 929-7132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)

Record details

NPI number1962566620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Burstein — Chief Administrative Officer · (773) 394-5260
NPI enumeratedDecember 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3111 W Armitage Ave, Chicago, IL 60647-3818

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