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Individual

DR. ASHLEY EVAN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Mailing address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036151981
IL
208800000X
Urology Physician
D71523
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
368875601
TX
05
368875602
TX
05
55783800
MD
Enumeration date
01/24/2007
Last updated
07/01/2020
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