Charles Gross

NPI #1013598309 in Joliet, Illinois

Provider Information

NPI Number: 1013598309
Entity Type: Individual
Name: Charles Gross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 19, 2021
Last Updated: Apr 19, 2021

Practice Location

Address: 3296 EXECUTIVE DRIVE UNIT 201
City: Joliet
State: Illinois
ZIP Code: 60431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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