Individual
MS. CARRIE KATHERINE GROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 1118, CHICAGO, IL 60612-3841
(312) 942-4500
Mailing address
1725 W HARRISON ST, SUITE 1118, CHICAGO, IL 60612-3841
(312) 942-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:057729
IL
2084N0400X
Neurology Physician
Primary
A129593
CA
Other
Enumeration date
05/21/2010
Last updated
02/08/2021
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