Individual
DR. DOUGLAS ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1255
Mailing address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36100932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36100932
—
IL
Enumeration date
06/27/2006
Last updated
03/20/2015
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