Individual provider Active NPI

Grace George, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1760643167
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125055167 Issued in IL
Practice address
3 Erie CT
Suite L-700
Oak Park, IL 60302-2519
Phone
(708) 763-1222
Fax
(708) 763-1471
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01073229A IN
Internal Medicine Physician 207R00000X 125055167 IL Primary

Addresses

Primary practice location

3 Erie CT
Suite L-700
Oak Park, IL 60302-2519

Mailing address

3 Erie CT
Suite L-700
Oak Park, IL 60302-2519
Phone (708) 763-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120125000723 IL Practitioner - Internal MedicinePractitioner - Hospitalist 3779750120 Reassigns benefits to 2 organizations
I20131112001637 IN Practitioner - Internal Medicine 3779750120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443

Hospital & facility affiliations

  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125055167ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians, PC Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2023 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 9, 2014 Accepting new patients
Major Hospital Past Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: ggeorge1158580@direct.trinity-health.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1760643167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "address_2": "SUITE L-700",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-1222",
            "fax_number": "708-763-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "address_2": "SUITE L-700",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-1222",
            "fax_number": "708-763-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01073229A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125055167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.