MS. MARY PAT AMBROSINO (NPI# 1902916364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902916364 |
Entity Type | Individual |
Full Name | MS. MARY PAT AMBROSINO |
Credential | RN |
Practice Address |
6775 Prosperi Dr Tinley Park IL 60477-4789 |
Mailing Address |
18912 Creekview Ln Mokena IL 60448-9496 |
Practice Telephone | 7084291260 |
Practice Fax Number | 7084296622 |
Mailing Telephone | 7082437625 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
IL | Nursing Service Providers |
Street Address |
6775 PROSPERI DR |
City | TINLEY PARK |
State | IL |
Zip Code | 60477-4789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407966856 | Thomas Gerald Bancsi | Occupational Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2006-08-30 |
1881253490 | Joshua Raphael Hollie | Behavioral Analyst | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2019-06-07 |
1467817155 | Jillian O'sullivan | Behavioral Analyst | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2015-12-22 |
1871850370 | Michelle R Archibald | Physical Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2012-04-20 |
1457647026 | Southwest Community Services, Inc. | Community/Behavioral Health | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2011-06-22 |
1619164639 | Barbara Driver | Occupational Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-10-03 |
1093909343 | Maureen Wolski | Occupational Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-08-30 |
1770709750 | Loren Ann Zemeckis | Physical Therapy Assistant | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-04-18 |
1578788352 | Mary T Dwyer | Speech-Language Pathologist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-04-16 |
1598988297 | Sheralyn Yvonne Smith | Specialist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
Find all providers in zip 60477 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679197958 | Sarah Michelle Milligan | Registered Nurse | 18033 County Road 500 E, Dahlgren, IL 62828-4294 | 2020-06-03 |
1649809617 | Sharron Rachel Coeurvie | Registered Nurse | 44 E Main St Ste 511, Champaign, IL 61820-3649 | 2020-04-02 |
1376183780 | Vilja Dell Robinson | Registered Nurse | 7818 W 91st St, Hickory Hills, IL 60457-2006 | 2020-01-14 |
1891357729 | Abdul Rahman Aloush | Registered Nurse | Hwy 86 Topawa Road, Sells, IL 85634 | 2019-07-01 |
1689197147 | Jacqueline Kaye Horne | Registered Nurse | 5104 S Austin Ave, Chicago, IL 60638-1419 | 2017-07-17 |
1255860870 | Mia K Rollyson | Registered Nurse | 5215 N California Ave # 101, Chicago, IL 60625-7014 | 2017-06-07 |
1366982233 | Olumide Oluwole | Registered Nurse | 6943 N Hamilton Ave, Apt 1, Chicago, IL 60645-4856 | 2017-02-27 |
1043752918 | Kathleen Masella | Registered Nurse | 1101 S State St, 603, Chicago, IL 60605-3175 | 2016-11-09 |
1164898631 | Markizh Johnson | Registered Nurse | 3601 S Wells St, 303, Chicago, IL 60609-1867 | 2015-08-19 |
1942557285 | Anna Cicciarelli | Registered Nurse | 5200 Reliable Pkwy, Chicago, IL 60686-0052 | 2012-08-06 |
Find all providers with the same taxonomy |
City | TINLEY PARK |
Zip Code | 60477 |
Please comment or provide details below to improve the information on MS. MARY PAT AMBROSINO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.