Provider Demographics
NPI:1831389816
Name:ROSS, CYNTHIA ANN (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5080 SPECTRUM DR
Mailing Address - Street 2:STE 1200 W
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4648
Mailing Address - Country:US
Mailing Address - Phone:972-725-5667
Mailing Address - Fax:214-775-4406
Practice Address - Street 1:8755 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-1905
Practice Address - Country:US
Practice Address - Phone:708-430-2295
Practice Address - Fax:708-430-2372
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2021-07-23
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Provider Licenses
StateLicense IDTaxonomies
IL036-0816392083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine