Gruener, Gregory
Gruener, Gregory is an individual health care provider with primary practice located at 2160 S 1St Ave Maguire Center, Rm. 2700, Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Gruener, Gregory can be contacted via phone (708) 216-2662.Contact Information
Primary practice address
2160 S 1St Ave Maguire Center, Rm. 2700
Maywood IL 60153
Phone: (708) 216-2662
Fax: (708) 216-5617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 36064200 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 36064200 | Illinois |
Profile Details
| NPI number | 1689640138 |
|---|---|
| LBN Legal business name | Gruener, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Nov 11th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689640138 | NPPES |
| Illinois | MEDICAID | 36064200 |
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