Individual
DR. FRED ELLIOTT ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11070 S WESTERN AVE, CHICAGO, IL 60643-3928
(773) 239-9700
Mailing address
11070 S WESTERN AVE, CHICAGO, IL 60643-3928
(773) 239-9700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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