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NPI Code Detail

MEDICARE: AMBER ASHFORD

MEDICARE:   AMBER  ASHFORD
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
1104100000XSocial Worker12236TN

General Provider Information

NPI Number : 1588399372
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER ASHFORD
Provider Business Mailing Address
First Line : 9631 S CICERO AVE # 1211
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-3137
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2528 W 111 ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655
Country : US
Telephone Number : 773-234-4214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2022
Last Update Date : 07/18/2022

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Directions to “ AMBER ASHFORD ” Practice Location

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