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Contact Information

MICHAEL D GROSS, M.D., J.D.
2101 W BELMONT AVE
SUITE 1
CHICAGO, IL60618-6413
 Phone: 708-638-2417
 Fax: 773-472-2473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Legal Medicine

209800000X
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MICHAEL D GROSS · (Male)

NPI Number 1609987890
Status Active
Credentials M.D., J.D.
Entity Individual
Enumeration date 08/31/2006
Last updated 10/22/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036 078620
  • IL License # 036078620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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