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Individual

DR. STEPHEN ALFRED GROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(224) 783-8998
(224) 783-8606
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
036078686
IL
2085N0904X
Nuclear Radiology Physician
036078686
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036078686
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036078686
IL
Enumeration date
04/03/2006
Last updated
03/18/2026
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