Black, Ashley

Black, Ashley is an individual health care provider with primary practice located at 6501 S Promontory Dr , Chicago IL 60649-1003. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Black, Ashley can be contacted via phone (773) 256-5746.

Contact Information

Primary practice address
6501 S Promontory Dr Chicago IL 60649-1003
Phone: (773) 256-5746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209015210 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209015210 Illinois
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 209015210 Illinois

Profile Details

NPI number 1841701075
LBN Legal business name Black, Ashley
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2017
Last updated Jan 18th, 2019 - about 7 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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