Individual
KENTON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DO
Contact information
Practice address
7447 W TALCOTT AVE, CHICAGO, IL 60631-3745
(773) 792-5155
Mailing address
7447 W TALCOTT AVE, CHICAGO, IL 60631-3745
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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