MARK AMBROSE (PA-C) – Physician Assistant, NPI 1043424740

MARK AMBROSE (PA-C) is a healthcare provider. based in Orland park, Illinois. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085000830 (IL). The NPI Number for MARK AMBROSE (PA-C) is 1043424740

Main info

Male
Name
MARK AMBROSE (PA-C)
NPI
1043424740
Phone
(708) 206-0010
Address
16450 104TH AVE
Enumeration Date
10 May 2007
Last Update Date
13 May 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARK AMBROSE (PA-C)

  • 16450, 104th Avenue, Orland Park, Orland Township, Cook County, Illinois, 60467, United States

    STE 101

    ORLAND PARK, IL 604675416

    Phone: (708) 206-0010

    Fax: (708) 206-0020

    Type: Mailing

  • 3330, West 177th Street, Hazel Crest, Bremen Township, Cook County, Illinois, 60429, United States

    SUITE 3E

    HAZEL CREST, IL 604292184

    Phone: (708) 206-0010

    Fax: (708) 206-0020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60467)

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Reviews

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Frequently asked questions

What number should I use to identify MARK AMBROSE (PA-C) for billing?
Administrative and clinical systems typically use NPI 1043424740 for MARK AMBROSE (PA-C).
Does the public listing show MARK AMBROSE (PA-C) as active?
MARK AMBROSE (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret MARK AMBROSE (PA-C)'s specialty?
The extract shows Physician Assistant for MARK AMBROSE (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to MARK AMBROSE (PA-C)?
The directory associates MARK AMBROSE (PA-C) with Orland Park, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for MARK AMBROSE (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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