| Jonathan H Ross, MD | |
|
1725 W Harrison St Ste 710, Chicago, IL 60612 | |
| (312) 942-3034 | |
| Not Available |
| Full Name | Jonathan H Ross |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1725 W Harrison St Ste 710, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104881176 | NPI | - | NPPES |
| 0015632900004 | Medicaid | PA | |
| 0892066 | Medicaid | OH | |
| 423827 | Other | OH | WELLCARE |
| P00829965 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 036-110209 (Illinois) | Secondary |
| 208800000X | Urology | 036-110209 (Illinois) | Primary |
| Entity Name | The Metrohealth System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan H Ross, MD 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 Ph: (312) 942-3034 | Jonathan H Ross, MD 1725 W Harrison St Ste 710, Chicago, IL 60612 Ph: (312) 942-3034 |
Dr. Ithaar Derweesh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 970, Chicago, IL 60612 Phone: 312-563-3447 Fax: 312-563-3721 | |
Dr. Itay Sagy, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 5758 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1860 | |
Dr. Dylan Samuel Isaacson, MD, MPH Urology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-694-6083 | |
Fadi A Habib, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5600 W Addison St, Suite 305, Chicago, IL 60634 Phone: 773-725-0760 Fax: 773-725-3499 | |
Dr. Michael Ryan Abern, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 820 S Wood St # Mc955, Suite 515, Chicago, IL 60612 Phone: 312-996-9330 | |
Samuel John Ohlander, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1009 S Wood St, Chicago, IL 60612 Phone: 312-996-2779 | |
Sarah Ann Armitage, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1725 W Harrison St Ste 970, Chicago, IL 60612 Phone: 312-563-3447 |