Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK AMBROSE, PA-C
ActiveMARK AMBROSE, PA-C is a Physician Assistant healthcare provider located in HAZEL CREST, Illinois. NPI 1043424740 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HAZEL CREST, IL
Registration Details
- NPI Number
- 1043424740
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.118268682076 yrs)
- Last Updated
- May 13, 2016
- License
-
085000830 (IL)
Practice Information
- Address
-
3330 W 177TH STSUITE 3EHAZEL CREST, IL, 604292184Browse IL providers · Browse ZIP 60429
- Phone
- 7082060010
- Fax
- 7082060020
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HAZEL CREST, IL
| Name | Credential | NPI |
|---|---|---|
| LISA M. FANTROY | PA-C | 1982799508 |
| OLIVIA SCHULTZ | — | 1669955936 |
| SARAH ALICE GILFILLAN | PA | 1043971435 |
| KYRIAKI M KEENAN | PA-C | 1043932403 |
| BROOKE WOLD | DMS, PA-C | 1134969637 |
| ETHAN HOELDTKE | PA-C | 1194560227 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.