Individual
DR. JASON J GRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4953 N LEAVITT ST, CHICAGO, IL 60625-1308
(773) 561-4038
Mailing address
4953 N LEAVITT ST, CHICAGO, IL 60625-1308
(773) 561-4038
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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