MEDICARE: EMMA ASHLEY BABB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	125.070052	IL
2	2084P0800X	Psychiatry Physician	2023-00421	NC

General Provider Information

NPI Number	:	1366983710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA ASHLEY BABB

Provider Business Mailing Address
First Line	:	251 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-926-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2017
Last Update Date	:	02/13/2026

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