Individual
DR. STEPHANIE ANNE ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1000 CENTRAL ST, SUITE 800, EVANSTON, IL 60201-1777
(773) 459-6756
(773) 728-8719
Mailing address
3633 W LAKE AVE, SUITE 400, GLENVIEW, IL 60026-5805
(773) 459-6759
(773) 728-8719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635161
BCBS ID NUMBER
IL
Enumeration date
05/15/2006
Last updated
07/09/2007
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