| Dr Charles R Gruner, MD | |
|
800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439 | |
| (847) 869-0522 | |
| (847) 869-0652 |
| Full Name | Dr Charles R Gruner |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 800 Austin St, Evanston, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093980872 | NPI | - | NPPES |
| 036115417 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036115417 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Hospital-evanston | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 278 |
| Entity Name | Prime Healthcare Illinois Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023837689 PECOS PAC ID: 5597275685 Enrollment ID: O20250609000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles R Gruner, MD 800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439 Ph: (847) 869-0522 | Dr Charles R Gruner, MD 800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439 Ph: (847) 869-0522 |
Laurel Ann Omert, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9249 Lincolnwood Dr, Evanston, IL 60203 Phone: 847-763-0761 Fax: 847-864-0353 |
David P Winchester, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2800 Fax: 847-570-2930 |
Miral Sadaria Grandhi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201 Phone: 847-570-1700 Fax: 847-503-4371 |
Katharine A. Yao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave # 1155, Evanston, IL 60201 Phone: 847-570-1700 Fax: 847-733-5298 |
Sullivan Armando Ayuso, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 |
Alison Carol Coogan, Surgery Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2560 |
Amna Munif Khokar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Northshore University Healthsystem, Office Of Academic, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 Phone: 847-570-1316 |