Individual
DOUGLAS A AMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 BLANCHARD CIR STE 206, WHEATON, IL 60189-2039
(630) 653-0848
(630) 653-0988
Mailing address
7 BLANCHARD CIR STE 206, WHEATON, IL 60189-2039
(630) 653-0848
(630) 653-0988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097066
—
IL
01
—
L65993
MEDICARE PTAN
—
Enumeration date
07/24/2006
Last updated
11/05/2019
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