# JACEK GRELA M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366568297
- **Authorized official:** DR. JACEK GRELA M.D. (PHYSICIAN)
- **Authorized official phone:** (708) 415-2959

## Contact information

- **Practice address:** 1011 STATE ST, SUITE 140, LEMONT, IL 60439-4768
- **Practice address phone:** (630) 754-0141
- **Mailing address:** 10S570 GLENN DR, BURR RIDGE, IL 60527-6822
- **Mailing address phone:** (708) 415-2959
- **Mailing address fax:** (708) 636-1825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020