Ross, Amanda

Ross, Amanda is an sole proprietor health care provider with primary practice located at 1037 Desplaines Avenue Unit 607, Forest Park IL 60130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Amanda can be contacted via phone (708) 813-0333.

Contact Information

Primary practice address
1037 Desplaines Avenue Unit 607 Forest Park IL 60130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149015810 Illinois

Profile Details

NPI number 1740828227
LBN Legal business name Ross, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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