Individual provider · Type 1 NPI
Mark Allen Grevious, MD
Plastic Surgery Physician · Munster, IN
Practice location
7905 Calumet Ave
Munster, IN 46321-2549
Fax (219) 836-7515
Mailing address
849 W Ohio St
Chicago, IL 60642-6982
Other practice locations
- 3900 W 203rd St, Olympia Fields, IL 60461-1183 · (708) 855-7071
- 1740 W Taylor St, Chicago, IL 60612-7232 · (312) 996-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 036100551 (IL) |
| Plastic Surgery Physician | 208200000X | 01060561A (IN) |
| Surgery Physician | 208600000X | 01060561A (IN) |
| Surgery Physician | 208600000X | 036100551 (IL) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036100551 (IL) |
| Plastic Surgery Physician Primary | 208200000X | 72578 (MN) |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1194727909
Mark Allen Grevious, MD's National Provider Identifier is 1194727909, issued on Aug 11, 2005. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Munster, IN. The record was last updated on Apr 25, 2025.