Ross, Brendon
Ross, Brendon is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # Mc3079 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ross, Brendon can be contacted via phone (773) 702-1000.Contact Information
Primary practice address
5841 S Maryland Ave # Mc3079
Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 10766520-1204 | Utah |
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 036149973 | Illinois |
Profile Details
NPI number | 1730506601 |
---|---|
LBN Legal business name | Ross, Brendon |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 27th, 2014 |
Last updated | Oct 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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