Mark Ambrose, PA-C
NPI 1043424740 · Physician Assistant · Hazel Crest, IL
Mark Ambrose, PA-C is a Physician Assistant provider in Hazel Crest, IL (NPI 1043424740).
Provider details
- NPI number
- 1043424740
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085000830 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2016-05-13
Frequently asked questions
- What is Mark Ambrose's NPI number?
- Mark Ambrose's National Provider Identifier (NPI) is 1043424740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Ambrose's specialty?
- Mark Ambrose is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Ambrose located?
- Mark Ambrose's practice location on file with NPPES is 3330 W 177th St, Hazel Crest, IL 60429-2184.
- What is Mark Ambrose's phone number?
- The practice phone number listed in the NPPES registry for Mark Ambrose is (708) 206-0010.
- Is Mark Ambrose's NPI active?
- Yes — Mark Ambrose's NPI (1043424740) is active in the NPPES registry as of the last update on 2016-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.