Individual
MARY ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5354
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010011
IL
Other
Enumeration date
06/28/2023
Last updated
12/09/2025
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