Dr. Mark Allen Grevious, MD
Dr. Mark Allen Grevious, MD is a Plastic and Reconstructive Surgery in Munster, Indiana. Graduated from Rutgers New Jersey Medical School in 1994, 32 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Minnesota.
- Years since qualifying
- 32
- Trained at
- Rutgers New Jersey Medical School
- Licensed in
- IL, IN, MN
- In the registry since
- 2005
- Specialties on file
- 6
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
7905 Calumet AveMunster, IN 46321-2549
Phone: (219) 836-7506
Fax: (219) 836-7515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1740 W Taylor St, Chicago, IL 60612-7232 — (312) 996-7000
- 3900 W 203rd St, Olympia Fields, IL 60461-1183 — (708) 855-7071
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 72578 (MN) |
|---|---|
| Plastic Surgery Physician | Taxonomy 208200000X · Licence 036100551 (IL) |
| Plastic Surgery Physician | Taxonomy 208200000X · Licence 01060561A (IN) |
| Surgery Physician | Taxonomy 208600000X · Licence 01060561A (IN) |
| Surgery Physician | Taxonomy 208600000X · Licence 036100551 (IL) |
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X · Licence 036100551 (IL) |
Record details
| NPI number | 1194727909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 11, 2005 |
| Last updated in NPPES | April 25, 2025 |
| Certification date | April 25, 2025 |
| Mailing address | 849 W Ohio St, Chicago, IL 60642-6982 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Also practises | HAND SURGERY |
| Medical school | RUTGERS NEW JERSEY MEDICAL SCHOOL |
| Graduated | 1994 (32 years in practice) |
| Group practice | The Board Of Trustees Of The University Of Illinois — 1142 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Munster
-
Indiana Plastic Surgery, PC
10110 Donald S Powers Dr Ste 201A, Munster, IN 46321-4057 · (219) 513-2100
-
Dr. Lisa Ann Whitty Bradley, MD
7905 Calumet Ave, Munster, IN 46321-2549 · (219) 836-7506
-
Yessenow Centre, PC
9250 Columbia Ave Ste A-2, Munster, IN 46321-3538 · (219) 836-8136