Individual
ASHLEI ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14604 JOHN HUMPHREY DR STE 8, ORLAND PARK, IL 60462-2642
(773) 442-2280
Mailing address
12616 S JUSTINE ST, CALUMET PARK, IL 60827-6010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/19/2023
Last updated
02/13/2025
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