Organization
NEWPORT MEDICAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W ASHLEY M.D. (PRESIDENT)
(708) 385-8820
Entity
Organization
Contact information
Practice address
2310 YORK ST, BLUE ISLAND, IL 60406-2411
(708) 385-8820
(708) 389-4769
Mailing address
5501 W 79TH ST, SUITE 400, BURBANK, IL 60459-1784
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044241
—
IL
01
—
1619281
BLUE SHIELD
IL
Enumeration date
05/26/2006
Last updated
10/21/2014
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