Individual
DR. SCOTT JOHN AMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
233 E ERIE ST, SUITE 601, CHICAGO, IL 60611-2926
(312) 409-4147
(773) 296-1169
Mailing address
849 W WOLFRAM ST, CHICAGO, IL 60657-5107
(773) 929-3389
(773) 296-1169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623066
BLUE CROSS & BLUE SHIELD
IL
01
—
7364492
AETNA
IL
Enumeration date
09/21/2006
Last updated
07/08/2007
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