Individual
DR. KYLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2130 W BELMONT AVE UNIT 6, CHICAGO, IL 60618
(262) 676-9370
Mailing address
2130 W BELMONT AVE UNIT 6, CHICAGO, IL 60618-6990
(262) 676-9370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0.38.012686
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/11/2014
Last updated
06/06/2018
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