Individual
BRUCE GLENN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 GRAND CANYON PKWY, SUITE 301, HOFFMAN ESTATES, IL 60169-1705
(847) 882-5888
(847) 882-5951
Mailing address
1000 GRAND CANYON PKWY, SUITE 301, HOFFMAN ESTATES, IL 60169-1705
(847) 882-5888
(847) 882-5951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036060298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036060298
STATE LICENSE NUMBER
IL
Enumeration date
04/14/2006
Last updated
10/13/2014
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