Individual
DR. FEODOR JUAN GLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-5048
Mailing address
1265 W VICTORIA ST, CHICAGO, IL 60660-3448
(773) 769-2026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-107480
IL
Other
Enumeration date
04/02/2007
Last updated
04/23/2021
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