Organization Active NPI

Kris G McGrath MD SC

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1023393360
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036-060890 Issued in IL
Legal business name
KRIS G MCGRATH MD SC
Practice address
500 N Michigan Ave
Suite 1640
Chicago, IL 60611-3777
Phone
(312) 222-9500
Fax
(312) 222-9589
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kris Graham McGrath, MDNPI 1174563811
Title
President
Phone
(312) 222-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036-060890 IL Primary

Addresses

Primary practice location

500 N Michigan Ave
Suite 1640
Chicago, IL 60611-3777

Mailing address

500 N Michigan Ave
Suite 1640
Chicago, IL 60611-3777
Phone (312) 222-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000786 IL Part B Supplier - Clinic/Group Practice 5395918320 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

333 N Michigan Ave
Ste 2032
Chicago, IL 60601
Phone (312) 222-9500

400 N Michigan Ave
Ste 1010
Chicago, IL 60611

500 N Michigan Ave
Chicago, IL 60611
Phone (248) 495-8165

500 N Michigan Ave
Ste 1640
Chicago, IL 60611
Phone (312) 222-9500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFBBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1023393360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE",
            "address_2": "SUITE 1640",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113777",
            "telephone_number": "312-222-9500",
            "fax_number": "312-222-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE",
            "address_2": "SUITE 1640",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113777",
            "telephone_number": "312-222-9500",
            "fax_number": "312-222-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS G MCGRATH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-222-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-060890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.