Individual
DR. JEFFREY STEVEN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
666 DUNDEE RD, SUITE 1302, NORTHBROOK, IL 60062-2727
(847) 484-1812
(847) 400-5828
Mailing address
3085 PHEASANT CREEK DR, #203, NORTHBROOK, IL 60062-3362
(847) 484-1812
(847) 400-5828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31604387
BCBS PROVIDER NUMBER
IL
Enumeration date
03/14/2007
Last updated
07/08/2007
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