Provider Demographics
NPI:1992312011
Name:KAMARA, ASHLEE (DC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 S RIVER RD STE 19
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-2206
Mailing Address - Country:US
Mailing Address - Phone:847-296-2322
Mailing Address - Fax:847-803-1943
Practice Address - Street 1:1645 S RIVER RD STE 19
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-2206
Practice Address - Country:US
Practice Address - Phone:847-296-2322
Practice Address - Fax:847-803-1943
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor