Individual
DR. LAURYN JAELA ASHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3016
Mailing address
1484 KILMUIR WAY, STONE MOUNTAIN, GA 30083-1985
(770) 827-3904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125087002
IL
Other
Enumeration date
04/22/2025
Last updated
07/30/2025
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