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Dr. Charles Arthur Ambelang, MD
Student in an Organized Health Care Education/Training Program in Rockford, Illinois
NPI 1477718377

Charles Arthur Ambelang is a Student in an Organized Health Care Education/Training Program based in Detroit, IL. Charles Arthur Ambelang practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Charles Arthur Ambelang is 1477718377 and holds a License No. 53957-020 (Illinois).

The current practice location address for Charles Arthur Ambelang is 5666 E State St, Rockford, IL and can be reached out via phone at 815-226-2000.

Location: 5666 E State St, Rockford, IL, 48202-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477718377
Provider Name
Charles Arthur Ambelang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5666 E State St, Rockford, IL, 48202-2608
Phone Number
815-226-2000
Fax Number
Provider Enumeration Date
07/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5666 E State St
City
Rockford
State
Illinois
Zip
61108-2425
Phone Number
815-226-2000
Fax Number
person
Provider Business Mailing Address Details
Address
5666 E State St
City
Rockford
State
Illinois
Zip
61108-2425
Phone Number
815-226-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L2511673 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
53957-020 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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