DR. MARTIN MICHAEL GRUCA MD NPI 1144724774

NPI Information

NPI: 1144724774
Provider Name: DR. MARTIN MICHAEL GRUCA, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
5841 S. MARYLAND AVE
M/C 6080
CHICAGO, IL
ZIP 60637
Phone: (773) 702-5211
Get Directions

DR. Martin Michael Gruca, MD is a cardiovascular disease internal medicine in Chicago, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Martin Michael Gruca, MD NPI is 1144724774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5841 S. MARYLAND AVE
M/C 6080
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-5211
Fax: (773) 702-8875

The NPI 1144724774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 6/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		125.071702	ILLINOIS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	036.155369	ILLINOIS	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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