Organization
BRADLEY S. ROSS, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY S ROSS D.P.M. (PRESIDENT)
(847) 673-1818
Entity
Organization
Contact information
Practice address
7126 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2234
(847) 673-1818
(847) 583-9196
Mailing address
7126 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2234
(847) 673-1818
(847) 583-9196
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016-004242
IL
Other
Enumeration date
02/14/2008
Last updated
07/09/2012
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