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 | 22 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 |
---|---|---|
Presence Saint Francis Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
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 |
Entity Name | Surgical Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144493826 PECOS PAC ID: 2163463654 Enrollment ID: O20050516000038 |
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: Medicare Enrolled 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 | |
Katharine Yao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System, Evanston, IL 60201 Phone: 847-570-1327 Fax: 847-733-3695 | |
Sullivan Armando Ayuso, MD Surgery Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 | |
Dr. Tricia Moo-young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Walgreen Building Suite 2507, Evanston, IL 60201 Phone: 847-570-1316 Fax: 847-570-2930 | |
Dr. Andrea Elizabeth Geddes, MD, MS Surgery Medicare: Medicare Enrolled Practice Location: 800 Austin St Ste 563, Evanston, IL 60202 Phone: 847-869-0522 |