Mark Ambrose, PA-C

NPI 1043424740 · on the registry since 2007

Practice

Address: 3330 W 177th St
Suite 3e
Hazel Crest, IL 60429
Phone: (708) 206-0010
Fax: (708) 206-0020
Organisation at this address: Mfmm Inc
Sfz Corporation
Sole 2 Sole, Pc
Nader Beshay Md Sc
Robert E Thurman Jr
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois