Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Montrose Medical Group, LLC

Organization Family Medicine Physician · NPI 1679892889

The Montrose Medical Group, LLC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4757 W Montrose Ave
Chicago, IL 60641-1504 Not confirmed with CMS for 16 years — call before visiting
Phone: (773) 777-2620
Fax: (773) 777-3030
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036065761 (IL)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 036065761 (IL)

Record details

NPI number1679892889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Wright — Medical Director · (773) 777-2620
NPI enumeratedMay 27, 2010
Last updated in NPPESMay 27, 2010
Mailing address4757 W Montrose Ave, Chicago, IL 60641-1504

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