SearchIllinois363AS0400X

Kelly Ambrosius, CST,CFA,RSA

NPI 1932322815 · on the registry since 2007

Practice

Address
39067 N Caroline Ave
#362
Wadsworth, IL 60083
Phone
(800) 560-8374
Fax
(800) 560-8374

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-01

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