Gross, Israel

Gross, Israel is an sole proprietor health care provider with primary practice located at 1934 W. Roscoe St. #4, Chicago IL 60657. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gross, Israel can be contacted via phone (773) 879-1392.

Contact Information

Primary practice address
1934 W. Roscoe St. #4 Chicago IL 60657
Phone: (773) 879-1392
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009431 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071.009431 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071.009431 Illinois

Profile Details

NPI number 1225575871
LBN Legal business name Gross, Israel
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2017
Last updated Jan 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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