Individual
LAWRENCE S. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
820 S WOOD ST, 515 CSN, MC 955, CHICAGO, IL 60612-4325
(312) 996-9330
(312) 413-0495
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036040494
IL
Other
Enumeration date
08/21/2006
Last updated
10/24/2008
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