Individual
DR. ROBERT GRUNSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
913 W WELLINGTON AVE FL 2, CHICAGO, IL 60657-6709
(872) 843-0200
(872) 843-9000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-5188
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036048958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021605461
BLUE CROSS BLUE SHIELD
IL
05
—
036048958
—
IL
Enumeration date
08/16/2006
Last updated
12/21/2022
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