Jacek Grela M.D., S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JACEK GRELA M.D., S.C.

Practice address

1011 State St
Suite 140
Lemont, IL 60439-4768

Phone

(630) 754-0141

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacek Grela, M.D.NPI 1700850625

Title

Physician

Phone

(708) 415-2959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

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

• Jacek Grela, M.D.

  • Internal Medicine Physician
  • Lemont, IL
  • NPI 1700850625
  Medicare reassignment NPD Authorized official
• Michelle Stoklosa, APN

  • Family Nurse Practitioner
  • Lemont, IL
  • NPI 1588196802
  Medicare reassignment NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366568297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10S570 GLENN DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276822",
            "telephone_number": "708-415-2959",
            "fax_number": "708-636-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 STATE ST",
            "address_2": "SUITE 140",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394768",
            "telephone_number": "630-754-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACEK GRELA M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRELA",
        "authorized_official_first_name": "JACEK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-415-2959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Hooper, BCBA, LCPC
• Hope to Heal Counseling, LLC (Maria D Rodriguez, LCSW)
• Illinois Pain and Neuropathy Center LTD
• Inspired Therapy Services, LLC
• Nooran Ismail
• Aurimas Jackunas, PA-C
• Susan Jacobowski, L.C.S.W.
• Jeffrey E Forzley DC PC (Forzley Chiropractic)
• Deborah Jenkins
• Paige Jenkins

• Internal Medicine Physician in Lemont, IL
• Providers in Lemont, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.