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IndividualActivePrescriber

Mark Ambrose

PA-C

Physician Assistant

NPI: 1043424740Hazel Crest, Illinois, 60429(708) 206-0010Male

About Mark Ambrose

Mark Ambrose, PA-C, is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1043424740. Their primary practice is located at 3330 W 177TH ST, Hazel Crest, Illinois 60429.

Patients can reach the office at (708) 206-0010. Mark Ambrose is authorized to prescribe medications. Mark Ambrose has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1043424740
Entity Type
Individual
First Name
Mark
Last Name
Ambrose
Credential
PA-C
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
3330 W 177TH ST
City
Hazel Crest
State
Illinois
ZIP
60429-2184
Country
United States
Phone
(708) 206-0010
Fax
(708) 206-0020

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
16450 104TH AVE
City
ORLAND PARK
State
IL
ZIP
604675416

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Mark Ambrose's NPI number?
Mark Ambrose's National Provider Identifier (NPI) is 1043424740. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mark Ambrose specialize in?
Mark Ambrose specializes in Physician Assistant.
Where is Mark Ambrose located?
Mark Ambrose practices at 3330 W 177TH ST, Hazel Crest, Illinois 60429. You can reach them by phone at (708) 206-0010.
Does Mark Ambrose accept Medicare?
Based on available data, Mark Ambrose is not currently enrolled in the Medicare program.
Does Mark Ambrose offer telehealth or virtual visits?
Mark Ambrose does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mark Ambrose prescribe medications?
Yes, Mark Ambrose is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mark Ambrose is 1043424740.