Individual
DR. ASHLEY GALE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7447 W TALCOTT AVE STE 542, CHICAGO, IL 60631-3716
(773) 631-2180
(773) 631-5947
Mailing address
7447 W TALCOTT AVE STE 542, CHICAGO, IL 60631-3716
(773) 631-2180
(773) 631-5947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.131207
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036131207
IL
207RP1001X
Pulmonary Disease Physician
Primary
036131207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131207
—
IL
Enumeration date
09/01/2010
Last updated
12/30/2021
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