Individual
SONDRA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16546 SIEGEL DR, CREST HILL, IL 60403-1663
(779) 233-1174
Mailing address
16546 SIEGEL DR, CREST HILL, IL 60403-1663
(779) 233-1174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
04133286
IL
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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