| Robin S Ross Phd Ltd | |
|
2715 Greenwood Rd Northbrook IL 60062-7623 | |
| (847) 409-9557 | |
| Not Available |
| Full Name | Robin S Ross Phd Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 2715 Greenwood Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Robin S Ross (PRESIDENT) |
| Authorized Official Contact | 8474050220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin S Ross Phd Ltd 2515 Waukegan Rd Ste 556 Bannockburn IL 60015-1569 Ph: (847) 409-9557 | Robin S Ross Phd Ltd 2715 Greenwood Rd Northbrook IL 60062-7623 Ph: (847) 409-9557 |
| NPI Number | 1992339063 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Medicare PECOS PAC ID | 0345671814 |
|---|---|
| Medicare Enrollment ID | O20200518000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992339063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robin S Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780759332 PECOS PAC ID: 3173650215 Enrollment ID: I20100422000385 |
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