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Individual

MARK S. GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
27401 W HIGHWAY 22 STE 125, BARRINGTON, IL 60010-5934
(847) 381-0388
(847) 381-0811
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036062557
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036062557
IL
Enumeration date
09/22/2005
Last updated
03/29/2018
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