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Individual

JENNY ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-9797
Mailing address
62 BRIGHTON 2ND PL PH B, BROOKLYN, NY 11235-7055
(540) 520-9081

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.142885
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
291912
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD457159
PA

Other

Enumeration date
05/10/2012
Last updated
03/20/2023
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