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Contact Information

MARK A GREVIOUS, MD
7905 CALUMET AVE
MUNSTER, IN46321-2549
 Phone: 219-836-7506
 Fax: 219-836-7515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK A GREVIOUS · (Male)

NPI # 1194727909
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 04/25/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036100551
  • IN License # 01060561A
  • MN License # 72578
  • IL Medicaid 036-100551-1
Hospital affiliation(s)
  • FRANCISCAN PHYSICIANS HOSPITAL LLC - (Acute Care)
    701 SUPERIOR AVE
    MUNSTER, IN 46321
  • FRANCISCAN PHYSICIANS HOSPITAL LLC - (Acute Care)
    701 SUPERIOR AVE
    MUNSTER, IN 46321
  • JOHN H STROGER JR HOSPITAL - (Acute Care)
    1901 W HARRISON ST
    CHICAGO, IL 60612
  • JOHN H STROGER JR HOSPITAL - (Acute Care)
    1901 W HARRISON ST
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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