IndividualActive
Brendon Ross, D.O.
NPI 1730506601 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Chicago, IL
Provider details
- NPI number
- 1730506601
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10766520-1204 (UT)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 036149973 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5841 S Maryland Ave # Mc3079
Chicago, IL 60637-1443
Phone: (773) 702-1000
Approximate (ZIP-level) locationGet directions
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2019-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.