Organization · Type 2 NPI
Ebony Wellness LLC
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1003574757
Active
Practice location
7531 S Stony Island Ave Ste 164
Chicago, IL 60649-3954
Fax (773) 947-7338
Mailing address
7220 W 83rd St
Bridgeview, IL 60455-1981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
6 other providers at this address
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- Casem Ballouk, MDGeneral Practice Physician Chicago, IL NPI 1649851924
- Cynthia M. Mitchell, APRNFamily Nurse Practitioner Chicago, IL NPI 1467230904
- Sime H. AlemuGeneral Practice Physician Chicago, IL NPI 1730020553
Other gerontology nurse practitioner providers in Chicago
About NPI 1003574757
Ebony Wellness LLC's National Provider Identifier is 1003574757, issued on Nov 30, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Nov 30, 2021.