Individual
STEVEN E AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9730 S WESTERN AVE, STE 100, EVERGREEN PARK, IL 60805-2814
(708) 425-1907
(708) 422-4253
Mailing address
9730 S WESTERN AVE, STE 100, EVERGREEN PARK, IL 60805-2814
(708) 425-1907
(708) 422-4253
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036079951
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079951
—
IL
Enumeration date
08/03/2006
Last updated
02/16/2011
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