Individual
KARLA RAE AMBROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2711
(217) 244-1758
Mailing address
PO BOX 13044, JACKSON, WY 83002-3044
(307) 739-1099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103211
IL
207Q00000X
Family Medicine Physician
6650A
WY
207Q00000X
Family Medicine Physician
9801139
NC
Other
Enumeration date
05/24/2006
Last updated
03/21/2023
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