Maricela Ambriz

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242001380 Issued in IL

Practice address

3949 W 65TH St
Chicago, IL 60629-4720

Phone

(773) 716-6623

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1326373689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 W. 65TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606296005",
            "telephone_number": "773-716-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 W 65TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294720",
            "telephone_number": "773-716-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 N LaSalle St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606146005",
            "country_code": "US",
            "telephone_number": "312-943-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBRIZ",
        "first_name": "MARICELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavana Ambil, MD
• Ambika P Amblee, MD
• Ketsya Manuella Amboise, PHARMD.
• Allison M Ambre, DPT
• Susana Ambriz-Vargas
• Ambrose Pharmacy Inc
• Elizabeth Ambrose, FNP-BC
• Jordan Anderson Ambrose, PHARMD
• Steve Ambrose
• Nunzio J Ambrosino, D.C.

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.