Gross, Ilana

Gross, Ilana is an individual health care provider with primary practice located at 36 Main St , Park Ridge IL 60068-4059. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gross, Ilana can be contacted via phone (847) 692-6692.

Contact Information

Primary practice address
36 Main St Park Ridge IL 60068-4059
Phone: (847) 692-6692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071009732 Illinois

Profile Details

NPI number 1033609441
LBN Legal business name Gross, Ilana
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2018
Last updated May 11th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033609441 NPPES
Illinois Other 071009732 CLINICAL PSYCHOLOGIST

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