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Thomas Ross
NPI 1417621046 · on the registry since 2021 · sole proprietor
Practice
- Address
- 125 S Orchard Dr
Bolingbrook, IL 60440 - Phone
- (779) 537-4980
- Organisation at this address
- Dark Star Transit Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 342000000X
342000000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois