Individual
DR. MARK I. ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
490 COVENTRY LN STE 201, CRYSTAL LAKE, IL 60014-7548
(815) 455-5034
(815) 455-5041
Mailing address
490 COVENTRY LN STE 201, CRYSTAL LAKE, IL 60014-7548
(815) 455-5034
(815) 455-5041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46008014
IL
Other
Enumeration date
01/18/2007
Last updated
04/06/2009
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