Individual
MRS. KAREN L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
411 NORTHWEST PROFESSIONAL CENTER, SUITE B, CRYSTAL LAKE, IL 60014
(815) 459-3810
Mailing address
727 CONCORD DR, CRYSTAL LAKE, IL 60014-8567
(815) 455-3062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160.001036
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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