NPI 1750336103 · live from the CMS NPI Registry
Karla Rae Ambroz, MD
Family Medicine in Urbana, IL. National Provider Identifier 1750336103, active.
NPI record
| NPI | 1750336103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1109 S Lincoln Ave, Urbana, IL 61801 |
| Practice phone | 217-333-2711 |
| Mailing address | Po Box 13044, Jackson, WY 83002 |
| Enumerated | May 24, 2006 |
| Last updated | March 21, 2023 |
| Sole proprietor | No |
| Other names | K. Ambroz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 6650A (WY) |
| Family Medicine | 207Q00000X | 9801139 (NC) |
| Family Medicine primary | 207Q00000X | 036103211 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.