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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689640138 NPPES
Illinois MEDICAID 36064200

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