Individual
DR. JACQUELINE L AMBROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 MAIN ST, DOWNERS GROVE, IL 60515-3611
(630) 963-5440
(630) 963-2989
Mailing address
4900 MAIN ST, DOWNERS GROVE, IL 60515-3611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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