Individual
THOMAS ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S ORCHARD DR, BOLINGBROOK, IL 60440-2621
(779) 537-4980
Mailing address
125 S ORCHARD DR, BOLINGBROOK, IL 60440-2621
(779) 537-4980
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
R20082795119
IL
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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