Individual
DR. JONATHAN TAYLOR GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 ROOSEVELT RD STE 201, VALPARAISO, IN 46383-2802
(219) 476-7777
(219) 476-7120
Mailing address
833 N CLARK ST UNIT 2204, CHICAGO, IL 60610-3420
(954) 673-5651
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02008130A
IN
Other
Enumeration date
03/29/2018
Last updated
01/13/2025
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