Lawrence S. Ross, M.D.
Urology in Chicago, IL. Individual provider (NPI-1).
NPI number1619082104
StatusActive
Last updated in NPPESOct 24, 2008
Details
- NPI
- 1619082104
- Entity type
- Individual (NPI-1)
- Name
- Lawrence S. Ross
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Oct 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 036040494 | IL | Yes |
Practice location
1740 W Taylor StChicago, IL 60612-7232
Phone 866-600-2273
Mailing address
820 S Wood St515 Csn, Mc 955
Chicago, IL 60612-4325
Phone 312-996-9330 · Fax 312-413-0495
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