Individual
MR. ROSS G VONDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
5707 S ASHLAND AVE, COUNTRYSIDE, IL 60525-3512
(708) 352-7782
Mailing address
5707 S ASHLAND AVE, COUNTRYSIDE, IL 60525-3512
(708) 352-7782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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