Ambrose, Jacqueline L

Ambrose, Jacqueline L is an individual health care provider with primary practice located at 4900 Main St , Downers Grove IL 60515-3611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ambrose, Jacqueline L can be contacted via phone (630) 963-5440.

Contact Information

Primary practice address
4900 Main St Downers Grove IL 60515-3611
Phone: (630) 963-5440
Fax: (630) 963-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1053380295
LBN Legal business name Ambrose, Jacqueline L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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