Individual
JAMES ALAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 COMMERCE DR, SUITE B, GRAYSLAKE, IL 60030-1646
(847) 856-3800
(847) 856-3803
Mailing address
PO BOX 40, ROUND LAKE, IL 60073-0040
(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 CROSS BLUE SHIELD IL
IL
Enumeration date
01/05/2006
Last updated
10/16/2015
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