Grant Advocate & Counseling SVC of Il

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRANT ADVOCATE & COUNSELING SVC OF IL

Practice address

1649 E 50TH St
#7E
Chicago, IL 60615-3128

Phone

(773) 629-0524

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerisa C. Johnson, D.O.

Title

Physician Owner

Phone

(773) 629-0524

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerisa Berry, D.O.

  • Emergency Medicine Physician
  • Greenacres, FL
  • NPI 1679760045
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1285819342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803031",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606803031",
            "telephone_number": "773-629-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 E 50TH ST",
            "address_2": "#7E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153128",
            "telephone_number": "773-629-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT ADVOCATE & COUNSELING SVC OF IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERISA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "773-629-0524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Granick, MD
• Samuel Granieri, M.D.
• Lena A Granlund, D.C.
• Anna Granneman, LCSW
• Granny'S Center
• Grant Advocate Illinois LLC
• Kaitlin Grant McGirr
• Akassi Grant, PTC
• Alessandra Adora Grant, LSW
• Carolyn Elizabeth Grant, AGACNP

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.