Ashley Black, APN is a
Pediatrics - Pediatric Pulmonology based in Chicago, Illinois. Ashley Black is licensed to practice in Illinois (license number 209015210) and her current practice location is
6501 S Promontory Dr, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 256-5746.
NPI number for Ashley Black is 1841701075 and her current mailing address is 1440 S Michigan Ave Apt 215, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841701075.
Provider's Profile
| Full Name | Ashley Black |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics - Pediatric Pulmonology |
|---|
| Location | 6501 S Promontory Dr, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841701075
- Provider Enumeration Date: 10/16/2017
- Last Update Date: 01/18/2019
Medical Identifiers
Medical identifiers for Ashley Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841701075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 209015210 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209015210 (Illinois) | Secondary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 209015210 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ashley Black, APN 1440 S Michigan Ave Apt 215, Chicago, IL 60605-2956 Ph: (708) 218-7694 | Ashley Black, APN 6501 S Promontory Dr, Chicago, IL 60649-1003 Ph: (773) 256-5746 |
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