Gros, William H

Gros, William H is an individual health care provider with primary practice located at 512 W Burlington Ave Suite 100, La Grange IL 60525-2221. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gros, William H can be contacted via phone (630) 579-4801.

Contact Information

Primary practice address
512 W Burlington Ave Suite 100 La Grange IL 60525-2221
Phone: (630) 579-4801
Fax: (630) 579-4805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036062649 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036062649 Illinois

Profile Details

NPI number 1316902919
LBN Legal business name Gros, William H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Aug 29th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316902919 NPPES
Illinois MEDICAID 036062649

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