Shivraj Grewal, MD
Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1184372575
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1184372575
- Entity type
- Individual (NPI-1)
- Name
- Shivraj Grewal
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2022
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 125.081333 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1620 W Harrison StChicago, IL 60612-3801
Phone 312-942-5000
Mailing address
1620 W Harrison StChicago, IL 60612-3801
Other practice locations
475 N 5th St
Phoenix, AZ 85004-2157
Phoenix, AZ 85004-2157
Phone 602-827-2002
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