SearchIllinois104100000X

Ruby Flagg-Ross, LSW

NPI 1861598336 · on the registry since 2006 · sole proprietor

Practice

Address
12200 S Perry Ave
Chicago, IL 60628
Phone
(773) 568-5567

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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