Individual
HILARY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., O.T.R./L.
Contact information
Practice address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Mailing address
80 SUNSET AVE, GLEN ELLYN, IL 60137-5636
(314) 504-1604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008435
IL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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