IndividualActive
Miles Grunvald, MD
NPI 1942704606 · Colon & Rectal Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1942704606
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036.170115 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5841 S Maryland Ave # Mc6040
Chicago, IL 60637-1443
Phone: (773) 702-6337
Approximate (ZIP-level) locationGet directions
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.