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Organization
GRACEWAY MEDICAL CENTER LTD
Active
Organization
GRACEWAY MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BURSTEIN (CHIEF ADMINISTRATIVE OFFICER)
(773) 394-5260
Entity
Organization
Contact information
Practice address
4108 N SHERIDAN RD, CHICAGO, IL 60613-2007
(773) 929-4544
(773) 929-7132
Mailing address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 394-5260
(773) 394-5271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
12/20/2006
Last updated
09/11/2025
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