Individual
ASHTON MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 14-140, CHICAGO, IL 60611-5966
(312) 664-3278
(312) 695-1903
Mailing address
675 N SAINT CLAIR ST STE 14-140, CHICAGO, IL 60611-5966
(312) 664-3278
(312) 695-1903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009916
IL
363AS0400X
Surgical Physician Assistant
15-02205
KS
Other
Enumeration date
05/16/2018
Last updated
09/25/2023
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