Active NPI
Granular Care, PLLC
- Nurse Practitioner
- Worth, IL
National Provider Identifier
1629958962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- GRANULAR CARE, PLLC
- Practice address
- 11319 S Harlem Ave
Worth, IL 60482-2001 - Phone
- (847) 957-6014
- Fax
- (847) 385-3672
- NPI assigned
- Sep 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lamees Nemer Mahmoud, APRN
- Title
- Clinical Director, NP
- Phone
- (847) 957-6014
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
11319 S Harlem Ave
Worth, IL 60482-2001
Mailing address
PO Box 171
Orland Park, IL 60462-0171
Phone (847) 957-6014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251222001239 | IL | Part B Supplier - Clinic/Group Practice | 3870088305 |
Receives reassigned benefits from 1 practitioner Practice locations: Orland Park, IL |
National Provider Directory
National Provider DirectoryLocations
11319 S Harlem Ave
Worth, IL 60482
Phone (847) 957-6014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1629958962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604620171",
"telephone_number": "847-957-6014",
"fax_number": "847-385-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11319 S HARLEM AVE",
"city": "WORTH",
"state": "IL",
"postal_code": "604822001",
"telephone_number": "847-957-6014",
"fax_number": "847-385-3672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANULAR CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "MAHMOUD",
"authorized_official_first_name": "LAMEES",
"authorized_official_middle_name": "NEMER",
"authorized_official_title_or_position": "CLINICAL DIRECTOR, NP",
"authorized_official_telephone_number": "847-957-6014",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.