Dr. Amba Ayloo, M.D.
Family Medicine in Oak Park, IL. Individual provider (NPI-1).
NPI number1700206331
StatusActive
Last updated in NPPESApr 18, 2016
Details
- NPI
- 1700206331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amba Ayloo
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2014
- Last updated
- Apr 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036134520 | IL | Yes |
Practice location
18 Chicago AveOak Park, IL 60302-2402
Phone 773-253-3933 · Fax 773-437-6780
Mailing address
213 N Racine AveChicago, IL 60607-1644
Phone 312-733-9730 · Fax 773-866-8014
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