IndividualActive
Mark Grevious, M.D.
NPI 1194727909 · Plastic Surgery Physician · Munster, IN
Provider details
- NPI number
- 1194727909
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036100551 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7905 Calumet Ave
Munster, IN 46321-2549
Phone: (219) 836-7506
Fax: (219) 836-7515
Approximate (ZIP-level) locationGet directions
Mailing address
849 W Ohio St
Chicago, IL 60642-6982
Additional practice locations (2)
- 1740 W Taylor StChicago, IL 60612-7232Phone: (312) 996-7000
- 3900 W 203rd StOlympia Fields, IL 60461-1183Phone: (708) 855-7071Fax: (708) 503-3224
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.