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Organization
S DAVID ROSS II SC
Active
Organization
S DAVID ROSS II SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S DAVID ROSS MD (PRESIDENT)
(217) 726-8820
Entity
Organization
Contact information
Practice address
2524 FARRAGUT DR, SPRINGFIELD, IL 62704-8400
(217) 726-8820
(217) 726-6796
Mailing address
2524 FARRAGUT DR, SPRINGFIELD, IL 62704-8400
(217) 726-8820
(217) 726-6796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036041875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041875
—
IL
Enumeration date
07/07/2006
Last updated
01/22/2010
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