| Dr Mark Allen Grevious, MD | |
|
7905 Calumet Ave, Munster, IN 46321-2549 | |
| (219) 836-7506 | |
| (219) 836-7515 |
| Full Name | Dr Mark Allen Grevious |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 31 Years |
| Location | 7905 Calumet Ave, Munster, Indiana |
| 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 |
|---|---|---|---|
| 1194727909 | NPI | - | NPPES |
| 036-100551-1 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| John H Stroger Jr Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockford Health Physicians | 2567374036 | 362 |
| Cook County | 2860398088 | 698 |
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Specialty Physicians Of Illinois Llc | 4183529456 | 111 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Specialty Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Grevious, MD 849 W Ohio St, Chicago, IL 60642-6982 Ph: () - | Dr Mark Allen Grevious, MD 7905 Calumet Ave, Munster, IN 46321-2549 Ph: (219) 836-7506 |
Dr. Lisa Ann Whitty Bradley, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7506 |