STEPHANIE E GROSSO

KANKAKEE, IL
NPI1164722955
Former NameSTEHANIE E ORTMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003934)
Enumeration Date2010-10-26
Last Update Date2012-06-05
Business Address
Mrs. STEPHANIE E GROSSO PA-C
375 N WALL ST, SUITE P620
KANKAKEE, IL 60901
Phone number: 815-933-8020
Mailing Address
Mrs. STEPHANIE E GROSSO PA-C
375 N WALL ST, SUITE P620
KANKAKEE, IL 60901
Phone number: 815-933-8020