MRS. Stephanie E Grosso, PA-C

NPI #1164722955 in Kankakee, Illinois

Provider Information

NPI Number: 1164722955
Entity Type: Individual
Name: MRS. Stephanie E Grosso, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 26, 2010
Last Updated: Dec 4, 2024

Practice Location

Address: 375 N WALL ST, SUITE P620
City: Kankakee
State: Illinois
ZIP Code: 60901
Phone: (815) 933-8020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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