Provider Demographics
NPI:1316658321
Name:SABADOS, ASHLEY RODRIGUEZ (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RODRIGUEZ
Last Name:SABADOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2069 PEACH TREE LN
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-5124
Mailing Address - Country:US
Mailing Address - Phone:847-717-3400
Mailing Address - Fax:
Practice Address - Street 1:101 S MCLEAN BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-1830
Practice Address - Country:US
Practice Address - Phone:847-717-3400
Practice Address - Fax:847-255-7945
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-09
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.026526363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner