MEDICARE: DR. JOHN PLAYFAIR ROSS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME143636	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207X00000X	Orthopaedic Surgery Physician	036-157448	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588050256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN PLAYFAIR ROSS MD

Provider Business Mailing Address
First Line	:	3030 W SALT CREEK LN STE 100
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5006
Country	:	US
Telephone Number	:	847-870-4200
Fax Number	:	847-870-0059

Provider Business Practice Location Address
First Line	:	3030 W SALT CREEK LN STE 100
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5006
Country	:	US
Telephone Number	:	847-870-4200
Fax Number	:	847-870-0059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	10/08/2021

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Directions to “ DR. JOHN PLAYFAIR ROSS MD” Practice Location

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