Individual
KATIE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 95TH ST, SUITE 205, OAK LAWN, IL 60453-2654
(708) 346-4044
Mailing address
1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 60154-5701
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA060923
IL
Other
Enumeration date
07/16/2012
Last updated
05/24/2021
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