Individual provider · Type 1 NPI

Stephanie E. Grosso, PA-C

Physician Assistant · Kankakee, IL

NPI number 1164722955 Active

Practice location

500 W Court St
Kankakee, IL 60901-3661

Fax (815) 937-8778

Other practice locations

  • 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 · (708) 481-8883

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085003934 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164722955

Stephanie E. Grosso, PA-C's National Provider Identifier is 1164722955, issued on Oct 26, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kankakee, IL. The record was last updated on Jul 23, 2026.