ELIZABETH GROSS

NORMAL, IL
NPI1043603590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003539)
Enumeration Date2015-03-09
Last Update Date2015-03-09
Business Address
-- ELIZABETH GROSS ATC
110 HORTON FIELDHOUSE CAMPUS BOX 7130
NORMAL, IL 61790-0001
Phone number: 309-438-7246
Mailing Address
-- ELIZABETH GROSS ATC
2000 N LINDEN ST APT H308
NORMAL, IL 61761-5321
Phone number: 715-579-7194
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