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Individual

STEPHANIE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
800 BIESTERFIELD RD, SUITE 4003, ELK GROVE VILLAGE, IL 60007-3311
(847) 981-3698
Mailing address
2312 FAIRCHILD LN, WEST CHICAGO, IL 60185-6164
(773) 507-0156

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-005823
IL

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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