MARK AMBROSE PA-C
NPI 1043424740
Physician Assistant in Hazel Crest, IL
About Mark Ambrose Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK AMBROSE PA-C (NPI 1043424740) is an individual physician assistant in Hazel Crest, Illinois, licensed in Illinois (085000830) and active in the NPI registry since May 2007.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAZEL CREST, IL 60429
HAZEL CREST, IL 60429
HAZEL CREST, IL 60429
HAZEL CREST, IL 60429
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Ambrose's NPI number?
The NPI number for Mark Ambrose is 1043424740. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is Mark Ambrose located?
Mark Ambrose practices at 3330 W 177th St Suite 3E, Hazel Crest, IL 60429. The listed phone number is (708) 206-0010.
What is Mark Ambrose's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Mark Ambrose was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.