Individual
TIMOTHY N ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-3754
(224) 610-3866
Mailing address
3637 KRISTY CT, RACINE, WI 53406-5266
(224) 610-3754
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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