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Individual

DR. ISRAEL GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1934 W. ROSCOE ST., #4, CHICAGO, IL 60657
(773) 879-1392
Mailing address
1934 W ROSCOE ST, #4, CHICAGO, IL 60657-1056
(773) 879-1392

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.009431
IL
103TC0700X
Clinical Psychologist
071.009431
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071.009431
IL

Other

Enumeration date
01/20/2017
Last updated
01/20/2017
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