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1245342997
TIMOTHY N ROSS
NORTH CHICAGO, IL
NPI
1245342997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 385-000587)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- TIMOTHY N ROSS PAC
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 224-610-3754
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Mailing Address
-- TIMOTHY N ROSS PAC
3637 KRISTY CT
RACINE, WI 53406-5266
Phone number: 224-610-3754
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