Provider Demographics
NPI:1194306563
Name:READ, ASHLEY JILLANE (CRNA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JILLANE
Last Name:READ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JILLANE
Other - Last Name:SMALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, SRNA
Mailing Address - Street 1:1605 E CENTRAL RD UNIT 121C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3339
Mailing Address - Country:US
Mailing Address - Phone:509-344-9807
Mailing Address - Fax:
Practice Address - Street 1:450 E WATERSIDE DR UNIT 2001
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-4722
Practice Address - Country:US
Practice Address - Phone:509-344-9807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041482878163WC0200X
IL209.023391367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine