Individual provider · Type 1 NPI
Ebele N. Iloabachie
Psychiatric/Mental Health Nurse Practitioner · Fairview Heights, IL
NPI number
1093050841
Active
Practice location
141 Market Pl Ste 100
Fairview Heights, IL 62208-2089
Fax (618) 398-1759
Mailing address
7006 Stony Ridge Rd
St. Louis, MO 63129-6405
Other practice locations
- 3920 Hampton Ave, St. Louis, MO 63109-1401 · (314) 687-2713
- 12098 Lusher Rd, St. Louis, MO 63138-1302 · (866) 825-3227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.010250 (IL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021048982 (MO) |
| Family Nurse Practitioner | 363LF0000X | 2012036151 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277003973 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
- Preferred Behavioral Health Mso, Inc.Clinical Social Worker Fairview Heights, IL NPI 1962014472
- Promed Preferred Il 2 PLLCClinical Social Worker Fairview Heights, IL NPI 1023855566
- Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Fairview Heights, IL NPI 1124805189
Other psychiatric/mental health nurse practitioner providers in Fairview Heights
- Jennifer Glispie, PMHNPPsychiatric/Mental Health Nurse Practitioner Fairview Heights, IL NPI 1073499133
- Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Fairview Heights, IL NPI 1124805189
- Bianca L. CallowayPsychiatric/Mental Health Nurse Practitioner Fairview Heights, IL NPI 1790680122
About NPI 1093050841
Ebele N. Iloabachie's National Provider Identifier is 1093050841, issued on Dec 5, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairview Heights, IL. The record was last updated on May 30, 2025.