Individual
JULIANNE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6000
Mailing address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023709
IL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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