OrganizationActive
Grand Medical Clinic, Inc
NPI 1457658841 · Surgery Physician · Chicago, IL
Grand Medical Clinic, Inc is a Surgery Physician organization in Chicago, IL (NPI 1457658841).
Provider details
- NPI number
- 1457658841
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Garcia, Owner(312) 733-9858
- License
- 036124389 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2158 W Grand Ave
Suite 101
Chicago, IL 60612-1571
Phone: (312) 733-9858
Fax: (312) 799-8661
Street-level locationGet directions
Mailing address
2158 W Grand Ave
Chicago, IL 60612-1571
Registry dates
- Enumerated
- 2011-02-21
- Last updated
- 2011-02-21
Frequently asked questions
- What is Grand Medical Clinic, Inc's NPI number?
- Grand Medical Clinic, Inc's National Provider Identifier (NPI) is 1457658841, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Medical Clinic, Inc?
- Grand Medical Clinic, Inc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Medical Clinic, Inc located?
- Grand Medical Clinic, Inc's practice location on file with NPPES is 2158 W Grand Ave, Chicago, IL 60612-1571.
- What is Grand Medical Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Grand Medical Clinic, Inc is (312) 733-9858.
- Who is the authorized official for Grand Medical Clinic, Inc?
- The authorized official listed on Grand Medical Clinic, Inc's NPPES record is Omar Garcia, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Medical Clinic, Inc's NPI active?
- Yes — Grand Medical Clinic, Inc's NPI (1457658841) is active in the NPPES registry as of the last update on 2011-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.