person
Maryann Ebom
Family Nurse Practitioner in Lansing, Illinois
NPI 1922601889

Maryann Ebom is a Family Nurse Practitioner based in Homewood, IL and is specialized in Family. Maryann Ebom practices in Lansing, IL. The NPI Number for Maryann Ebom is 1922601889 and holds a License No. F10201531 (Illinois).

The current practice location address for Maryann Ebom is 18225 Burnham Ave, Lansing, IL and can be reached out via phone at 708-957-3101 and via fax at 708-991-2253.

Location: 18225 Burnham Ave, Lansing, IL, 60430-2798
person
Provider Profile Details
NPI Number
1922601889
Provider Name
Maryann Ebom
Credential
Provider Entity Type
Individual
Gender
Female
Address
18225 Burnham Ave, Lansing, IL, 60430-2798
Phone Number
708-957-3101
Fax Number
708-991-2253
Provider Enumeration Date
11/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18225 Burnham Ave
City
State
Zip
60438-3059
Phone Number
708-957-3101
Fax Number
708-991-2253
person
Provider Business Mailing Address Details
Address
18225 Burnham Ave
City
State
Zip
60438-3059
Phone Number
708-957-3101
Fax Number
708-991-2253
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F10201531 (Illinois)
Definition
Definition to come...
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