Individual
DR. MATTHEW JOSEPH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3S220 WARREN AVE, WARRENVILLE, IL 60555-2914
(630) 393-2222
(630) 393-2221
Mailing address
3S220 WARREN AVE, WARRENVILLE, IL 60555-2914
(630) 393-2222
(630) 393-2221
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036072169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072169
—
IL
01
—
140004322
RR MEDICARE
—
01
—
1578685368
CLINIC NPI
IL
01
—
384010
MEDICARE GROUP #
IL
Enumeration date
10/06/2006
Last updated
09/19/2022
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