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NPI Code Detail

MEDICARE: PERSEPHONE ROSS

MEDICARE: PERSEPHONE ROSS
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
1374J00000XDoula

General Provider Information

NPI Number : 1588468102
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERSEPHONE ROSS
Provider Business Mailing Address
First Line : 33 W GRAND AVE STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60654-6799
Country : US
Telephone Number : 800-325-1812
Fax Number :
Provider Business Practice Location Address
First Line : 33 W GRAND AVE STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60654-6799
Country : US
Telephone Number : 800-325-1812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2025
Last Update Date : 04/02/2025

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Directions to “ PERSEPHONE ROSS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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