Individual provider · Type 1 NPI

Mark Ambrose, PA-C

Physician Assistant · Hazel Crest, IL

NPI number 1043424740 Active

Practice location

3330 W 177th St, Suite 3E
Hazel Crest, IL 60429-2184

Call (708) 206-0010 Map

Fax (708) 206-0020

Mailing address

16450 104th Ave, Ste 101
Orland Park, IL 60467-5416

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085000830 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043424740

Mark Ambrose, PA-C's National Provider Identifier is 1043424740, issued on May 10, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hazel Crest, IL. The record was last updated on May 13, 2016.