MEDICARE: LINDSEY MARIE ASHLEY PA

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	363A00000X	Physician Assistant	085.004743	IL

General Provider Information

NPI Number	:	1700210473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY MARIE ASHLEY PA

Provider Business Mailing Address
First Line	:	600 GRANT ST
Second Line	:	1509
City	:	GARY
State	:	IN
Zip	:	46402-6001
Country	:	US
Telephone Number	:	219-886-4710
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 N ASHLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-0851
Country	:	US
Telephone Number	:	773-270-5600
Fax Number	:

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

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	03/02/2026

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Directions to “ LINDSEY MARIE ASHLEY PA” Practice Location

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