Individual
ALEXIS GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 S KOMENSKY AVE APT 2F, CHICAGO, IL 60623-1287
(773) 916-0367
Mailing address
1315 S KOMENSKY AVE APT 2F, CHICAGO, IL 60623-1287
(773) 916-0367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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