Grosso, Stephanie E

Grosso, Stephanie E is an individual health care provider with primary practice located at 375 N Wall St, Suite P620 , Kankakee IL 60901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grosso, Stephanie E can be contacted via phone (815) 933-8020.

Contact Information

Primary practice address
375 N Wall St, Suite P620 Kankakee IL 60901
Phone: (815) 933-8020
Fax: (815) 933-8068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003934 Illinois

Profile Details

NPI number 1164722955
LBN Legal business name Grosso, Stephanie E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2010
Last updated Jun 5th, 2012 - about 14 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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