Mark Allen Grevious, M.D.
Plastic Surgery Physician · Munster, IN
Practice location
7905 Calumet AveMunster, IN 46321-2549
- Phone
- (219) 836-7506
- Fax
- (219) 836-7515
NPI record
- NPI
- 1194727909
- Entity type
- Individual (Type 1)
- Enumeration date
- August 11, 2005
- Last updated
- April 25, 2025
- Certified
- April 25, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Physician Primary | 208200000X |
72578 | MN |
| 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 |
Mailing address
849 W Ohio StChicago, IL 60642-6982
Other practice locations (2)
- 3900 W 203rd St, Olympia Fields, IL 60461-1183 · (708) 855-7071
- 1740 W Taylor St, Chicago, IL 60612-7232 · (312) 996-7000
About Dr. Grevious
Mark Allen Grevious, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 7905 Calumet Ave, Munster, IN 46321-2549. The NPI number 1194727909 was assigned on August 11, 2005 and the record was last updated on April 25, 2025.
Dr. Grevious lists 6 licenses in the registry: #72578 (MN) for Plastic Surgery Physician; #036100551 (IL) for Plastic Surgery Physician; #01060561A (IN) for Plastic Surgery Physician; #01060561A (IN) for Surgery Physician; #036100551 (IL) for Surgery Physician; #036100551 (IL) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Allen Grevious, M.D.?
The NPI number is 1194727909.
What is the phone number of Dr. Grevious?
The phone number listed for the practice location is (219) 836-7506.
Where is Dr. Grevious located?
7905 Calumet Ave, Munster, IN 46321-2549.
What is the taxonomy code for Dr. Grevious?
The primary taxonomy code is 208200000X – Plastic Surgery Physician; 5 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Plastic Surgery Physician providers in Munster
- Yessenow Centre, P.C.9250 Columbia Ave
- Indiana Plastic Surgery, PC10110 Donald S Powers Drive