Individual
DR. ROBIN S. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
420 LAKE COOK RD, SUITE 113, DEERFIELD, IL 60015-5646
(847) 405-0220
(847) 405-0215
Mailing address
420 LAKE COOK RD, SUITE 113, DEERFIELD, IL 60015-5646
(847) 405-0220
(847) 405-0215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04972104
BCBS PROVIDER NUMBER
IL
01
—
055043
MAGELLAN PROVIDER NO
IL
01
—
056-596
VALUE OPTIONS PROVIDER NO
IL
01
—
422-6178
AETNA PROVIDER NO
IL
Enumeration date
11/21/2006
Last updated
07/08/2007
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