CHARLES G. GROEN MD – NPI #1497742860
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

CHARLES GROEN is a radiologist located in NILES, IL. NPPES has assigned the NPI number 1497742860 to CHARLES GROEN on September 30, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 15 years ago on Nov 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES GROEN below.

NPI Profile for
CHARLES G. GROEN

NPI Number
1497742860
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES G. GROEN
Credentials
MD
Primary location
8915 W GOLF RD
3RD FLOOR
NILES, IL 60714-5905
Phone: (847) 827-9490 Fax: (847) 827-2241
Mailing address
3610 PAYSPHERE CIR
CHICAGO, IL 60674-0036
Phone: (847) 585-7000 Fax: (847) 240-0622
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES GROEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM PROVIDER NUMBERIN000000726585
MEDICAIDIL036085244
MEDICAIDIN201034800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)
IL 036085244

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.