Organization Active NPI

Granular Care, PLLC

  • Nurse Practitioner
  • Worth, IL
National Provider Identifier
1629958962
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Lamees Nemer Mahmoud, APRNNPI 1760362099
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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.