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Contact Information

THOMAS A AMBROSE II, MD
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL62401-2121
 Phone: 217-540-2350
 Fax: 217-347-2323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THOMAS A AMBROSE II · (Male)

NPI Number 1679524805
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 01/15/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # 41335
  • IL License # 036172356
  • IN License # 01037487A
  • SD License # 10090
  • IN Medicaid 100357760
  • IN Other 000000247026 ANTHEM PIN
Hospital affiliation(s)
  • AVERA FLANDREAU HOSPITAL - CAH - (Critical Access)
    214 NORTH PRAIRIE AVENUE
    FLANDREAU, SD 57028
  • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care)
    1325 S CLIFF AVE POST OFFICE BOX 5045
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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