Jacqueline L Ambrose in Downers Grove - Family Medicine

Jacqueline L Ambrose - NPI 1053380295

Jacqueline L Ambrose is a Family Medicine in Downers Grove, Illinois. Jacqueline L Ambrose practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacqueline L Ambrose is 1053380295. The last update date is 2007-07-08.

Jacqueline L Ambrose's current location address is 4900 Main St, Downers Grove, Illinois. You can contact this provider via phone number 6309635440 and fax number 6309632989. The mailing address for Jacqueline L Ambrose is 4900 Main St, Downers Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline L Ambrose
Address 4900 Main St, Downers Grove, Illinois
Phone Number 6309635440
Fax Number 6309632989
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1053380295
Provider Enumeration Date 2006-03-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4900 Main St
City Downers Grove
State Illinois (IL)
Post Code 605153611
Phone Number 6309635440
Fax Number 6309632989

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Jacqueline L Ambrose

What is the unique 10-digit identification code issued to Jacqueline L Ambrose by the Centers for Medicare & Medicaid Services?

The Jacqueline L Ambrose has been assigned the NPI (National Provider Identifier) 1053380295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Jacqueline L Ambrose is physically located?

The Jacqueline L Ambrose is situated at the following address: 4900 Main St, Downers Grove, IL 605153611.

What is Jacqueline L Ambrose's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacqueline L Ambrose's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Jacqueline L Ambrose receive its 1053380295 assignment from the Centers for Medicare & Medicaid Services?

The Jacqueline L Ambrose was assigned its 1053380295 by the Centers for Medicare & Medicaid Services on 2006-03-17.

As of what date was the information pertaining to Jacqueline L Ambrose, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jacqueline L Ambrose, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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