Gruner, Charles R

Gruner, Charles R is an individual health care provider with primary practice located at 800 Austin St East Tower, Suite 563, Evanston IL 60202-3439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gruner, Charles R can be contacted via phone (847) 869-0522.

Contact Information

Primary practice address
800 Austin St East Tower, Suite 563 Evanston IL 60202-3439
Phone: (847) 869-0522
Fax: (847) 869-0652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036115417 Illinois

Profile Details

NPI number 1093980872
LBN Legal business name Gruner, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Oct 19th, 2011 - about 15 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 1093980872 NPPES
Illinois MEDICAID 036115417

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