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Contact Information

THOMAS GROSS, MD
4911 N EXECUTIVE DR
PEORIA, IL61614-4896
 Phone: 309-683-6700
 Fax: 309-683-6722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for THOMAS GROSS · (Male)

NPI Number 1912083601
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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