Individual provider · Type 1 NPI

Katie Gross

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1700131745 Active

Practice location

4400 W 95th St, Suite 205
Oak Lawn, IL 60453-2654

Call (708) 346-4044 Map

Mailing address

1 Westbrook Corporate Ctr, Ste 240
Westchester, IL 60154-5701

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA060923 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1700131745

Katie Gross's National Provider Identifier is 1700131745, issued on Jul 16, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on May 24, 2021.