| S David Ross II SC | |
|
2524 Farragut Dr Springfield IL 62704-8400 | |
| (217) 726-8820 | |
| (217) 726-6796 |
| Full Name | S David Ross II SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2524 Farragut Dr, Springfield, Illinois |
| Authorized Official Name and Position | S David Ross (PRESIDENT) |
| Authorized Official Contact | 2177268820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S David Ross II SC 2524 Farragut Dr Springfield IL 62704-8400 Ph: (217) 726-8820 | S David Ross II SC 2524 Farragut Dr Springfield IL 62704-8400 Ph: (217) 726-8820 |
| NPI Number | 1649202946 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649202946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036041875 (Illinois) | Primary |
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