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Contact Information

BRENDON ROSS, DO
5841 S MARYLAND AVE # MC3079
CHICAGO, IL60637-1443
 Phone: 773-702-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BRENDON ROSS · (Male)

NPI # 1730506601
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/27/2014
Last updated 10/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036149973
  • UT License # 10766520-1204
Hospital affiliation(s)
  • THE UNIVERSITY OF CHICAGO MEDICAL CENTER - (Acute Care)
    5841 SOUTH MARYLAND
    CHICAGO, IL 60637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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