Mary Ellen Gruszka
MD | Pediatrics | Female
Mary Ellen Gruszka, MD is a North Riverside, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mary Ellen Gruszka is
8711 W Cermak Rd, North Riverside, Illinois - 60546-1166. She can be contacted on phone at
708-442-7979 and fax number 708-442-8574.
Mary Ellen Gruszka is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Ellen Gruszka is
1073506101 which was assigned by NPPES on 24 Aug, 2005 and it was last updated on 29 Jun, 2015.
Mary Ellen Gruszka license number is
036061958 for Pediatrics (208000000X) in Illinois.
Mary Ellen Gruszka is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Ellen Gruszka basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Ellen Gruszka |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mary Ellen Gruszka address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8711 W Cermak Rd
North Riverside, IL, 60546-1166
United States |
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| Phone Number : | 708-442-7979 |
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| Fax Number : | 708-442-8574 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073506101 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2005 |
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| Last Updated On : | 29 Jun, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ellen Gruszka are as mentioned. Primary taxonomy code for Mary Ellen Gruszka, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036061958 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Mary Ellen Gruszka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036061958 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 967
Tinley Park, IL, 60477-0967
United States |
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Business Location:
Patients can refer following map for directions to
Mary Ellen Gruszka practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.