Individual ProviderShivraj GrewalSurgeryAllopathic & Osteopathic PhysiciansPractice Address1620 W Harrison St, Chicago, IL 60612-3801(312) 942-5000PECOS EnrollmentBased on the most recent information from CMS, provider Shivraj Grewal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1184372575Provider TypeIndividualFull NameGrewal, ShivrajCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/14/2022Last Updated5/16/2023Contact InformationPractice LocationPractice Address1620 W Harrison St, Chicago, IL 60612-3801Phone(312) 942-5000FaxUnlisted FaxMailing LocationMailing Address1620 W Harrison St, Chicago, IL 60612-3801PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125.081333IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer