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Laureen L Ambrose, MDSC
Specialist in Orland Park, Illinois
NPI 1710902077

Laureen L Ambrose is a Specialist based in Orland Park, IL. Laureen L Ambrose practices in Orland Park, IL and has the professional credentials of MDSC. The NPI Number for Laureen L Ambrose is 1710902077 and holds a License No. 036-059550 (Illinois).

The current practice location address for Laureen L Ambrose is 15300 West Ave, Orland Park, IL and can be reached out via phone at 708-460-1040 and via fax at 708-460-6872.

Location: 15300 West Ave, Orland Park, IL, 60462-4600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710902077
Provider Name
Laureen L Ambrose
Credential
MDSC
Provider Entity Type
Individual
Gender
Female
Address
15300 West Ave, Orland Park, IL, 60462-4600
Phone Number
708-460-1040
Fax Number
708-460-6872
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31600367 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
15300 West Ave
City
Orland Park
State
Illinois
Zip
60462-4600
Phone Number
708-460-1040
Fax Number
708-460-6872
person
Provider Business Mailing Address Details
Address
15300 West Ave
City
Orland Park
State
Illinois
Zip
60462-4600
Phone Number
708-460-1040
Fax Number
708-460-6872
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-059550 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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