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Individual

AMY GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, RD, LDN, IBCLC

Contact information

Practice address
28156 W NORTHPOINTE PKWY STE 225, LAKE BARRINGTON, IL 60010-2346
(224) 512-9800
(224) 512-9714
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006525
IL

Other

Enumeration date
06/15/2011
Last updated
05/03/2018
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