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1649202946
S DAVID ROSS II SC
SPRINGFIELD, IL
NPI
1649202946
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Entity Type
Organization
Authorized Contact
S DAVID ROSS
President
217-726-8820
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036041875)
Enumeration Date
2006-07-07
Last Update Date
2010-01-22
Business Address
S DAVID ROSS II SC
2524 FARRAGUT DR
SPRINGFIELD, IL 62704-8400
Phone number: 217-726-8820
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Mailing Address
S DAVID ROSS II SC
2524 FARRAGUT DR
SPRINGFIELD, IL 62704-8400
Phone number: 217-726-8820
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