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Individual
GENA GROSPE
Active
Individual
GENA GROSPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036152298
IL
207Q00000X
Family Medicine Physician
125069990
IL
Other
Enumeration date
05/07/2017
Last updated
08/09/2021
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