Heidi Jolene Gross, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

319 Dempster St
Suite 208
Evanston, IL 60201-4797

Phone

(847) 733-0169

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1477722338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 N CLARENDON AVE",
            "address_2": "SUITE 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132460",
            "telephone_number": "773-517-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 DEMPSTER ST",
            "address_2": "SUITE 208",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014797",
            "telephone_number": "847-733-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "HEIDI",
        "middle_name": "JOLENE",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Grodzin, MSW, MS, CF-SLP
• Adrienne Groff, MSW, LICSW
• Kimberly Grogan
• Alexandra Groot, PA-C
• Dennis R Groothuis, MD
• Linda Gross, MSW
• Rena Grosser, ATR-BC
• Gail Grossman
• John Groth, MD
• Valerie Lynn Grotheer, LCSW

• Massage Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.