Dr Israel Gross, PHD is a
Clinical Neuropsychologist based in Chicago, Illinois. Dr Israel Gross is licensed to practice in Illinois (license number 071.009431) and his current practice location is
1934 W. Roscoe St., #4, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 879-1392.
NPI number for Dr Israel Gross is 1225575871 and his current mailing address is 1934 W Roscoe St, #4, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225575871.
Healthcare Provider's Profile
| Full Name | Dr Israel Gross |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1934 W. Roscoe St., Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225575871
- Provider Enumeration Date: 01/20/2017
- Last Update Date: 01/20/2017
Medical Identifiers
Medical identifiers for Dr Israel Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225575871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071.009431 (Illinois) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071.009431 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071.009431 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Israel Gross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Israel Gross, PHD
1934 W Roscoe St, #4,
Chicago, IL 60657-1056
Ph: (773) 879-1392 | Dr Israel Gross, PHD
1934 W. Roscoe St., #4,
Chicago, IL 60657
Ph: (773) 879-1392 |
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