Individual
MRS. STEPHANIE E GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
375 N WALL ST, SUITE P620, KANKAKEE, IL 60901
(815) 933-8020
(815) 933-8068
Mailing address
375 N WALL ST, SUITE P620, KANKAKEE, IL 60901
(815) 933-8020
(815) 933-8068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003934
IL
Other
Enumeration date
10/26/2010
Last updated
12/04/2024
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