Individual
RUBY KAUR GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4900 N CUMBERLAND AVE, NORRIDGE, IL 60706
(708) 456-1600
(708) 456-2809
Mailing address
3871 MELODY ST, MUNDELEIN, IL 60060-6014
(224) 456-7555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005874
IL
Other
Enumeration date
07/11/2016
Last updated
08/26/2019
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