Individual
JEFFREY GRUBBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6020
Mailing address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6020
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238000188
IL
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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