person
Dr. John Warren Ebersole, MD
Diagnostic Radiology Physician in Evanston, Illinois
NPI 1649535782

John Warren Ebersole is a Diagnostic Radiology Physician based in Burr Ridge, IL and is specialized in Diagnostic Radiology. John Warren Ebersole practices in Evanston, IL and has the professional credentials of MD. The NPI Number for John Warren Ebersole is 1649535782 and holds a License No. 125061655 (Illinois).

The current practice location address for John Warren Ebersole is 2650 Ridge Ave Ste 1304, Evanston, IL and can be reached out via phone at 847-570-2477.

Location: 2650 Ridge Ave Ste 1304, Evanston, IL, 60527-6686
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Provider Profile Details
NPI Number
1649535782
Provider Name
John Warren Ebersole
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2650 Ridge Ave Ste 1304, Evanston, IL, 60527-6686
Phone Number
847-570-2477
Fax Number
Provider Enumeration Date
07/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2650 Ridge Ave Ste 1304
City
State
Zip
60201-1718
Phone Number
847-570-2477
Fax Number
person
Provider Business Mailing Address Details
Address
2650 Ridge Ave Ste 1304
City
State
Zip
60201-1718
Phone Number
847-570-2477
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036143255 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
125061655 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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