Gronau, Charles Gordon

Gronau, Charles Gordon is an individual health care provider with primary practice located at 1640 W Roosevelt Rd , Chicago IL 60608-1316. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Gronau, Charles Gordon can be contacted via phone (312) 413-8043.

Contact Information

Primary practice address
1640 W Roosevelt Rd Chicago IL 60608-1316
Phone: (312) 413-8043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X 1069105

Profile Details

NPI number 1336855329
LBN Legal business name Gronau, Charles Gordon
Credentials ACSM EP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2023
Last updated Jan 24th, 2023 - 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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