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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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