Individual
JOSEPH ROBERT ROSS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
540 TRUMAN DR, OSWEGO, IL 60543-7422
(920) 627-4800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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