MR. CHARLES GORDON GRONAU ACSM EP-C NPI 1336855329

NPI Information

  • NPI: 1336855329
  • Provider Name: MR. CHARLES GORDON GRONAU, ACSM EP-C
  • Classification: Clinical Exercise Physiologist - 224Y00000X
  • Entity Type: Individual
  • Address: 1640 W ROOSEVELT RD
    CHICAGO, IL
    ZIP 60608
  • Phone: (312) 413-8043

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NPI Details

MR. Charles Gordon Gronau, ACSM EP-C is a clinical exercise physiologist in Chicago, IL. The provider is a Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. MR. Charles Gordon Gronau, ACSM EP-C NPI is 1336855329. 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:

1640 W ROOSEVELT RD
CHICAGO, IL
ZIP 60608-316
Phone: (312) 413-8043

The enumeration date for this NPI number is 1/24/2023 and was last updated on 1/24/2023.

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
1224Y00000XClinical Exercise Physiologist1069105Yes

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: 3/30/2025

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