Individual
ZIBA A GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
320 S TAYLOR AVE, OAK PARK, IL 60302
(708) 215-1819
Mailing address
320 S TAYLOR AVE, OAK PARK, IL 60302-3526
(708) 215-1819
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000302
IL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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