Individual
ASHLEY DEBARBA MAGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-3900
Mailing address
1038 N WOLCOTT AVE UNIT 3, CHICAGO, IL 60622-3759
(860) 301-8066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.136393
IL
207P00000X
Emergency Medicine Physician
336.097692
IL
Other
Enumeration date
03/03/2011
Last updated
06/30/2015
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