Organization
JAMES A GROSS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A GROSS MD (PRESIDENT)
(847) 856-3800
Entity
Organization
Contact information
Practice address
130 S IL ROUTE 83, GRAYSLAKE, IL 60030-1620
(847) 856-3800
(847) 856-3803
Mailing address
130 S IL ROUTE 83, GRAYSLAKE, IL 60030-1620
(847) 856-3800
(847) 856-3803
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036072198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31603690
BLUE CROSSBLUE SHIELD IL
IL
Enumeration date
04/10/2007
Last updated
05/04/2011
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