OrganizationActive
Grant Advocate Illinois LLC
NPI 1376871020 · Internal Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1376871020
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerisa Johnson, Pres(773) 816-1117
- License
- 036119674 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
441 E Erie St
Suite 3712
Chicago, IL 60611-4446
Phone: (773) 816-1117
Fax: (773) 751-2250
Street-level locationGet directions
Mailing address
441 E Erie St
Chicago, IL 60611-4446
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2009-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.