Individual
ASHLEY WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(877) 692-8686
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(877) 692-8686
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209.010061
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
277.002154
IL
Other
Enumeration date
04/16/2014
Last updated
09/22/2022
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