Provider Demographics
NPI:1639781107
Name:YORK, ASHLEY MAY (BS)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MAY
Last Name:YORK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 W 8TH ST APT 305
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-6990
Mailing Address - Country:US
Mailing Address - Phone:937-336-2054
Mailing Address - Fax:
Practice Address - Street 1:1641 N MILWAUKEE AVE STE 7
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1350
Practice Address - Country:US
Practice Address - Phone:847-362-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program