Thomas Joseph Gruber, MD | |
1603 Arden Ave, Rockford, IL 61107-2027 | |
(815) 262-3001 | |
(815) 229-2508 |
Full Name | Thomas Joseph Gruber |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 1603 Arden Ave, Rockford, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811085202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 41045 (Colorado) | Secondary |
207L00000X | Anesthesiology | 2003027199 (Missouri) | Secondary |
207L00000X | Anesthesiology | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710198379 PECOS PAC ID: 1355259714 Enrollment ID: O20070922000105 |
Mailing Address | Practice Location Address |
---|---|
Thomas Joseph Gruber, MD 1603 Arden Ave, Rockford, IL 61107-2027 Ph: (815) 262-3001 | Thomas Joseph Gruber, MD 1603 Arden Ave, Rockford, IL 61107-2027 Ph: (815) 262-3001 |
Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4000 Fax: 815-971-9985 | |
Mark J. Kellen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Alan G Mowbray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-4000 | |
John N. Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6785 Weaver Rd, Suite D, Rockford, IL 61114 Phone: 815-633-8545 | |
Dr. Vishrut P. Naik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 | |
Adam Soliman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. William Stephen Minore, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400 Fax: 815-229-0050 |