Individual
MS. MARY PAT AMBROSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
(708) 429-6622
Mailing address
18912 CREEKVIEW LN, MOKENA, IL 60448-9496
(708) 243-7625
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
IL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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