| Howard O Grundy, MD | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 864-2036 | |
| (219) 864-2253 |
| Full Name | Howard O Grundy |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 24 Joliet St, Dyer, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871587493 | NPI | - | NPPES |
| 100201440 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01037603A (Indiana) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | ME159626 (Florida) | Primary |
| Entity Name | The University of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Howard O Grundy, MD 431 Westminster Dr, Burr Ridge, IL 60527-8338 Ph: (219) 864-2107 | Howard O Grundy, MD 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 864-2036 |
Sameer Sharma, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-864-2086 |
Anthony Nicholas Gentile, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 |