DR. CHARLES R GRUNER


Address: 800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439
Phone: 8478690522

DR. CHARLES R GRUNER (NPI# 1093980872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093980872
Entity Type Individual
Full Name DR. CHARLES R GRUNER
Credential M.D.
Practice Address 800 Austin St
East Tower, Suite 563
Evanston
IL 60202-3439
Practice Telephone 8478690522
Practice Fax Number 8478690652
Mailing Telephone 8478690522
Mailing Fax Number 8478690652
Enumeration Date 2008-04-23
Last Update Date 2011-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 036115417 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036115417 05

Office Location

Street Address 800 AUSTIN ST
EAST TOWER, SUITE 563
City EVANSTON
State IL
Zip Code 60202-3439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972506665 Thomas J Campbell Internal Medicine 800 Austin St, Ste 451e, Evanston, IL 60202-3455 2005-05-27
1518579739 Rizwana Patel Nurse Practitioner 800 Austin St, Evanston, IL 60202-3439 2020-08-19
1467949594 Hazel H Almores Nurse Practitioner 800 Austin St, East Tower, Ste 360, Evanston, IL 60202 2018-04-14
1073043469 Envision Mobile Imaging, LLC Clinic/Center 800 Austin St, Evanston, IL 60202-3439 2017-06-18
1407209265 Czamira Alba Nurse Practitioner 800 Austin St, Ste 369, Evanston, IL 60202-3439 2016-07-18
1396103230 Gnogno Md Visiting Physician Group Inc. Internal Medicine 800 Austin St, 269e, Evanston, IL 60202-3439 2016-02-07
1255706131 Presence Chicago Hospitals Network Internal Medicine 800 Austin St, Suite 207 West Tower, Evanston, IL 60202-3439 2015-12-03
1730566779 Sonam Shokso Nurse Practitioner 800 Austin St, Suite 269, Evanston, IL 60202-3439 2015-04-29
1235574237 Anshu Gupta, Md, P.C. Internal Medicine 800 Austin St, Suite 607, West Tower, Evanston, IL 60202-3439 2013-05-03
1447508874 Mohamad Albsheri Student in an Organized Health Care Education/Training Program 800 Austin St, Evanston, IL 60202-3439 2012-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548889496 Ktsmiles, Inc Clinic/Center 2408 Main Street, Evanston, IL 60202 2020-04-10
1831751163 Dorcas Matowe Marriage & Family Therapist The Family Institute, 618 Library Place, Evanston, IL 60202 2019-07-08
1457847170 Lilah Handler Social Worker 905 Forest Ave, Apt 1, Evanston, IL 60202 2018-07-05
1528574472 Jessica Kubacki Developmental Therapist 535 Hinman Ave Apt F3, Evanston, IL 60202 2017-12-14
1376075853 Lisa Meyerson Acupuncture Acupuncturist 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 2017-04-03
1427597368 Lillian Obucina Dds PC Dentist 111 North Wabash, Suite 1522, Chicago, IL 60202 2017-02-13
1184176893 Amelia Willcox Speech-Language Pathologist 620 Sheridan Square, Apartment 1, Evanston, IL 60202 2016-10-28
1831547785 Thomas Hagerty Jr. Pharmacist 2491 W Howard St, Evanston, IL 60202 2016-06-01
1013361948 Autism Hope Support In Home Supportive Care 815 Seward Apt. 1s, Evanston, IL 60202 2016-04-18
1215302625 Preferred Dentistry Associates, LLC Dentist 1029 Howard Street, Evanston, IL 60202 2015-12-10
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316384258 Amna Munif Khokar Surgery Northshore University Healthsystem, Office of Academic, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2013-06-02
1255562690 Uinta General Surgery Surgery 196 Arrowhead Dr Ste 4, Evanston, WY 82930-8752 2009-08-03
1245486877 Marin Nikolov Marinov Surgery 2615 Central St, Evanston, IL 60201-6413 2008-08-14
1841391349 Gregory M Yasuda Surgery 75 Yellow Creek Rd Ste 101, Evanston, WY 82930-5205 2006-09-26
1508204488 Herbert Mason Hedberg Surgery 2650 Ridge Ave, Evanston, IL 60201-1700 2013-06-12
1619237625 Tadge Kanjo General Surgery LLC Surgery 196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752 2012-05-23
1982984977 Lava Y Patel Surgery 2650 Ridge Ave, Evanston, IL 60201-1718 2011-08-22
1902126824 Ian James Kendrick Surgery 190 Arrowhead Dr, Evanston, WY 82930-9266 2010-06-02
1598923047 Michael Bryant Ujiki Surgery 2650 Ridge Ave, Walgreen Bldg, Suite 2507, Evanston, IL 60201-1718 2008-05-30
1003081522 Evanston Surgical Center LLC Surgery 196 Arrowhead Dr, Suite 8, Evanston, WY 82930-8752 2008-04-25
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Competitor

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City EVANSTON
Zip Code 60202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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