Ambrose, Steven E

Ambrose, Steven E is an individual health care provider with primary practice located at 9730 S Western Ave Ste 100, Evergreen Park IL 60805-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Ambrose, Steven E can be contacted via phone (708) 425-1907.

Contact Information

Primary practice address
9730 S Western Ave Ste 100 Evergreen Park IL 60805-2814
Phone: (708) 425-1907
Fax: (708) 422-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 036079951 Illinois

Profile Details

NPI number 1558379024
LBN Legal business name Ambrose, Steven E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 16th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558379024 NPPES
Illinois MEDICAID 036079951

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