BRANDI AMBROSE HAIR LOSS SPT
NPI 1790305613
Specialist - Prosthetics Case Management in Evergreen Pk, IL

Q: What is Brandi Ambrose's NPI number?

The NPI number for Brandi Ambrose is 1790305613. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Brandi Ambrose's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Brandi Ambrose was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 21, 2020

3408 W 95TH ST, EVERGREEN PK, IL 60805(773) 621-1199 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brandi Ambrose Hair Loss Spt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDI AMBROSE HAIR LOSS SPT (NPI 1790305613) is an individual prosthetics case management provider in Evergreen Pk, Illinois and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1790305613

Entity TypeIndividualFemale

Primary Taxonomy1744P3200X

Provider Legal NameBRANDI AMBROSECredential: HAIR LOSS SPT

Location Address3408 W 95TH STEvergreen Pk, IL 60805-2204

Mailing Address2640 E Martha PlChicago, IL 60633-2092 · (773) 899-8561

Phone(773) 621-1199

Sole ProprietorYes

Enumeration DateApril 21, 2020

NPPES CertifiedApril 21, 2020

✔ NPI 1790305613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

3408 W 95TH ST, Evergreen Pk, IL 60805

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAIISHA DEAR SWEET

Prosthetist

3408 W 95TH ST
EVERGREEN PARK, IL 60805

Cook County (312) 504-1253

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 Brandi Ambrose's NPI number?

The NPI number for Brandi Ambrose is 1790305613. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Brandi Ambrose located?

Brandi Ambrose practices at 3408 W 95th St, Evergreen Pk, IL 60805. The listed phone number is (773) 621-1199.

What is Brandi Ambrose's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Brandi Ambrose was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.