Provider Demographics
NPI:1346355575
Name:ROSS, CHRISTOPHER HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HAROLD
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1900 W POLK ST
Mailing Address - Street 2:10TH FLOOR, DIVISION OF EMERGENCY MEDICINE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3723
Mailing Address - Country:US
Mailing Address - Phone:312-864-0060
Mailing Address - Fax:312-864-9656
Practice Address - Street 1:1900 W POLK ST
Practice Address - Street 2:10TH FLOOR, DIVISION OF EMERGENCY MEDICINE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-0060
Practice Address - Fax:312-864-9656
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL036-096945207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH50197Medicare UPIN