OrganizationActive
The Montrose Medical Group, LLC
NPI 1679892889 · Family Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1679892889
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore Wright, Medical Director(773) 777-2620
- License
- 036065761 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4757 W Montrose Ave
Chicago, IL 60641-1504
Phone: (773) 777-2620
Fax: (773) 777-3030
Approximate (ZIP-level) locationGet directions
Mailing address
4757 W Montrose Ave
Chicago, IL 60641-1504
Registry dates
- Enumerated
- 2010-05-27
- Last updated
- 2010-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.