Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016005713 | IL |
N | 213ES0103X | Foot & Ankle Surgery | 135.000834 | IL |
NPI | 1043626914 |
---|---|
Provider Name | Dr. Ashley Schlesselman |
First Address | Rolling Meadows, IL 60008-2005 |
Second Address | North Chicago, IL 60064-3048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2014 |
Last Update Date | 22/03/2018 |