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 | 
|---|
| 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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