Ross, Mark I.
Ross, Mark I. is an sole proprietor health care provider with primary practice located at 490 Coventry Ln Ste 201 , Crystal Lake IL 60014-7548. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ross, Mark I. can be contacted via phone (815) 455-5034.Contact Information
Primary practice address
490 Coventry Ln Ste 201
Crystal Lake IL 60014-7548
Phone: (815) 455-5034
Fax: (815) 455-5041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 46008014 | Illinois |
Profile Details
| NPI number | 1659423655 |
|---|---|
| LBN Legal business name | Ross, Mark I. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Apr 6th, 2009 - about 15 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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