Individual
DANIEL JOSEPH GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
21W346 TEMPLE DR, ITASCA, IL 60143-1924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31185
SC
Other
Enumeration date
07/09/2024
Last updated
10/28/2025
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