Individual provider Active NPI

Grzegorz Blecharz, M.D.

  • Family Medicine Physician
  • Mount Prospect, IL
National Provider Identifier
1811150071
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036128361 Issued in IL
Practice address
1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone
(224) 265-9010
NPI assigned
Jul 8, 2008
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036128361 IL Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X 87639319 IL

Addresses

Primary practice location

1754 W Golf Rd
Mount Prospect, IL 60056-4071

Mailing address

1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone (224) 265-9010

Other identifiers 1

IdentifierTypeStateIssuer
125053992OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grzegorz.blecharz.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000595 IL Practitioner - Family PracticePractitioner - Emergency Medicine 1153591912 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seen Medical Group of Il PCGroup PAC ID 4183126261, 15 clinicians
Crystal Lake Immediate Care Physicians LTD.Group PAC ID 2961783139, 17 clinicians

Practice addresses (Care Compare)

1850 Gateway Dr
Sycamore, IL 60178-3192

331 W Surf St
Chicago, IL 60657-7227
Phone (630) 986-2800

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

525 E Congress Pkwy
Suite 100
Crystal Lake, IL 60014-6271
Phone (626) 327-6795

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87639319ILMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Seen Medical Group of Il, PC CurrentSince Jun 28, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2019 Accepting new patients
Crystal Lake Immediate Care Physicians LTD. CurrentSince Mar 1, 2021 Accepting new patients
Central Dupage Physician Group CurrentSince Sep 1, 2018 Accepting new patients
Alexian Brothers Corporate Health Services PastSince Jul 14, 2017 Accepting new patients
Advocate Health and Hospitals Corporation PastSince Mar 1, 2021 Accepting new patients
Parsley Medical Group FL PA Past Accepting new patients
Known Chicago SC Family Medicine Past Accepting new patients
Seen Medical Group, P.a. Obesity Medicine Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

331 W Surf St
Ste 5100
Chicago, IL 60657
Phone (630) 986-2800

525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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

224 E Railroad St
Sandwich, IL 60548
Phone (815) 786-7150

25 E Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 985-9390

25 E Schaumburg Rd
Ste 101
Schaumburg, IL 60194
Phone (630) 333-6218

1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252

1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252

460 Quail Ridge Dr
Westmont, IL 60559
Phone (630) 887-2900

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: grzegorz.blecharz.1@27511.direct.athenahealth.com
  • Direct secure messaging: grzegorz.blecharz.1@380.direct.athenahealth.com

Organizations & group practices 11

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

Hospital & facility affiliations 4

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1811150071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 W GOLF RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "224-265-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 W GOLF RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "224-265-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHARZ",
        "first_name": "GRZEGORZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128361",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IL",
            "license": "87639319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "125053992",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grzegorz.blecharz.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1754 W Golf Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600564071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.