Gross, Thomas

Gross, Thomas is an individual health care provider with primary practice located at 4911 N Executive Dr , Peoria IL 61614-4896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Gross, Thomas can be contacted via phone (309) 683-6700.

Contact Information

Primary practice address
4911 N Executive Dr Peoria IL 61614-4896
Phone: (309) 683-6700
Fax: (309) 683-6722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X Illinois

Profile Details

NPI number 1912083601
LBN Legal business name Gross, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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