NPI 1033609441

Ilana Gross, PSYD

Practitioner Clinical Psychologist Park Ridge, IL

Practice location

Address: 36 Main St, Park Ridge, IL 60068-4059
Phone: (847) 692-6692

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071009732 (IL)

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Registry record

NPI: 1033609441
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2018
Record last updated: 11 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.