Individual
GAIL GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 CHICAGO AVE, EVANSTON, IL 60202-2310
(847) 733-8302
Mailing address
713 CHICAGO AVE, EVANSTON, IL 60202-2310
(847) 733-8302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
IL
Enumeration date
10/07/2019
Last updated
10/07/2019
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