Organization
THE AMBROSE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AMBROSE PA (PHYSICIAN ASST. / SURGEON ASST.)
(708) 721-1463
Entity
Organization
Contact information
Practice address
328 W SAUK TRL, FRANKFORT, IL 60423-7778
(708) 721-1463
(708) 234-7133
Mailing address
328 W SAUK TRL, FRANKFORT, IL 60423-7778
(708) 721-1463
(708) 234-7133
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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