Individual
MR. CHARLES GORDON GRONAU II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSM EP-C
Contact information
Practice address
1640 W ROOSEVELT RD, CHICAGO, IL 60608-1316
(312) 413-8043
Mailing address
40 E 9TH ST APT 512, CHICAGO, IL 60605-2142
(618) 746-6956
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1069105
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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