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NPI Code Detail

MEDICARE: DR. ASHLEY NICOLE DODD M.D.

MEDICARE:  DR. ASHLEY NICOLE DODD  M.D.
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
12084P0800XPsychiatry PhysicianAN5240394-9602IL

General Provider Information

NPI Number : 1447480884
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY NICOLE DODD M.D.
Provider Business Mailing Address
First Line : 77 W WASHINGTON ST STE 1910
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3176
Country : US
Telephone Number : 312-834-3814
Fax Number :
Provider Business Practice Location Address
First Line : 77 W WASHINGTON ST STE 1910
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3176
Country : US
Telephone Number : 312-834-3814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2009
Last Update Date : 06/22/2021

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Directions to “ DR. ASHLEY NICOLE DODD M.D.” Practice Location

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