Individual
DR. GINA L GROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
567 W. 14TH STREET, UNITS D AND E, CHICAGO HEIGHTS, IL 60411
(309) 472-0645
Mailing address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027794
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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