Individual
SUZANNE ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9669 KENTON AVE, SUITE 550, SKOKIE, IL 60076-1266
(847) 933-1773
Mailing address
609 ACADEMY DR, NORTHBROOK, IL 60062-2420
(847) 223-9494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-107655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633008
BLUE SHIELD
IL
05
—
036107655
—
IL
Enumeration date
10/20/2006
Last updated
02/11/2021
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