NPI registry record
Provider & location details
- Registered organization
- GROUNDED TABLE LLC
- NPI number
- 1588524227
- Practice address
- 2133 N KEDZIE BLVD APT 3, CHICAGO, IL, 60647-7570
- Telephone
- (331) 330-6612
- Imported into directory
- Oct 31, 2026
The provider reports the same number for telephone and fax.
The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.
Before sending, call the listed office to confirm the fax number and the documents it accepts. Report a correction with this page's address and a public source link; do not include private documents.
Provider listed
Practice location fax
Confirm the correct receiving office before sending.
(331) 330-6612
NPI 1588524227
2133 N KEDZIE BLVD APT 3, CHICAGO, IL, 60647-7570
Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.
Practice location fax reported by the provider to NPPES
Check destination before sending