Ross, Jonathan H

Ross, Jonathan H is an individual health care provider with primary practice located at 1725 W Harrison St Ste 710 , Chicago IL 60612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ross, Jonathan H can be contacted via phone (312) 942-3034.

Contact Information

Primary practice address
1725 W Harrison St Ste 710 Chicago IL 60612
Phone: (312) 942-3034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036-110209 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 036-110209 Illinois

Profile Details

NPI number 1104881176
LBN Legal business name Ross, Jonathan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 29th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104881176 NPPES
Pennsylvania MEDICAID 0015632900004
Pennsylvania MEDICAID 0892066
Pennsylvania Other 423827
Pennsylvania Other P00829965

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