Individual
SAMANTHA A GROOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4185
Mailing address
505 N STATE ST APT 2108, CHICAGO, IL 60654-4813
(630) 272-0622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007724
IL
133V00000X
Registered Dietitian
LD004973
GA
Other
Enumeration date
09/01/2020
Last updated
11/27/2023
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