Mark Allen Grevious M.D.

NPI 1194727909 - Surgery - 2086S0122X

NPI Details
NPI 1194727909
Gender Male
Enumeration Date 08/11/2005
Last Updated 07/18/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
SUITE 515 CSN (MC 958)
CHICAGO IL, 60612-4325, US
Phone (312) 996-9313
Business Location
849W OHIO ST 1
CHICAGO IL, 60642-8901, US
Phone (312) 635-2262
Taxonomy Code 2086S0122X
License State Illinois
License Number 036100551
Remove 1194727909 NPI Number

According to our database, Dr. Mark Allen Grevious M.D. NPI is 1194727909, taxonomy code is 2086S0122X and license number is 036100551, license state is located at Illinois. Mark Allen Grevious M.D. physically located at 820 S Wood St, Chicago IL, 60612-4325. NPI Number Mark Allen Grevious M.D. has the Individual type.

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1194727909 NPI number is provided on an as is basis without warranty of any kind. 1194727909 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Allen Grevious M.D. are for informational purposes only.