Individual
PAWEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 N CASS AVE, WESTMONT, IL 60559-1602
(630) 615-9170
Mailing address
28 N CASS AVE, WESTMONT, IL 60559-1602
(630) 615-9170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000215
IL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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