Individual provider Active NPI

Christopher Werner Grant, M.D.

  • Neuroradiology Physician
  • Chicago, IL
National Provider Identifier
1114212040
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
65519-20 Issued in WI
Practice address
836 W Wellington Ave
Chicago, IL 60657-5147
Phone
(773) 975-1600
NPI assigned
Jun 20, 2011
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 336.104533 IL
Diagnostic Radiology Physician 2085R0202X 65519-20 WI
Neuroradiology Physician 2085N0700X 65519-20 WI Primary

Addresses

Primary practice location

836 W Wellington Ave
Chicago, IL 60657-5147

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941
Phone (916) 535-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170908001565 IL Practitioner - Diagnostic Radiology 9931409265 Reassigns benefits to 6 organizations
I20220426003023 WI Practitioner - Diagnostic Radiology 9931409265 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Radiologists LTDGroup PAC ID 7113915810, 16 clinicians
Medical Diagnostic Imaging LLCGroup PAC ID 0042107641, 13 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians

Practice addresses (Care Compare)

Chicago, IL 60618
Phone (563) 505-8123

Rockford, IL 61109
Phone (414) 282-4100

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

3077 N Mayfair Rd
Suite 115
Wauwatosa, WI 53222-4305
Phone (414) 282-4100

3501 Golf Rd
Eau Claire, WI 54701-8028
Phone (715) 858-4200

6150 W Layton Ave
Greenfield, WI 53220-4608
Phone (414) 282-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336.104533ILMDNeuroradiology Physician
65519-20WIMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince Jun 1, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Dec 3, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 31, 2017 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Dec 3, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 1, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 1, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 1, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Jul 31, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 1, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 1, 2022 Accepting new patients
Milwaukee Radiologists LTD Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 1, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 31, 2017 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 1, 2022 Accepting new patients
Radiology Consultants of Rockford LTD Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 21, 2024 Accepting new patients

Locations

1700 Henry Luckow Ln
Belvidere, IL 61008
Phone (779) 696-8650

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

39020 Eagle Way
Chicago, IL 60678

39856 Treasury Ctr
Chicago, IL 60694

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1215 N Alpine Rd
Rockford, IL 61107
Phone (815) 391-7700

1340 Charles St
Ste 404
Rockford, IL 61104
Phone (815) 316-8346

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

6150 W Layton Ave
Ste 110
Greenfield, WI 53220
Phone (414) 761-8346

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

6150 W Layton Ave
Milwaukee, WI 53220

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: christopher.grant@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1114212040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-975-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Lead Hill Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612941",
            "country_code": "US",
            "telephone_number": "916-535-2030",
            "fax_number": "916-536-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHRISTOPHER",
        "middle_name": "WERNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-02-26",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "336.104533",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "65519-20",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "65519-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.