Individual
STEVEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
75 REMIT DRIVE, LOCKBOX 6322, CHICAGO, IL 60675-6322
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-054990
IL
207P00000X
Emergency Medicine Physician
125261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054990
—
IL
Enumeration date
07/17/2006
Last updated
02/07/2008
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