Individual
ELISSA JO GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
407 W NORTH AVE, CHICAGO, IL 60610-1189
(312) 225-9500
(312) 255-9506
Mailing address
407 W NORTH AVE, CHICAGO, IL 60610-1189
(312) 225-9500
(312) 255-9506
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038007389
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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