Ebom, Maryann

Ebom, Maryann is an sole proprietor health care provider with primary practice located at 18225 Burnham Ave , Lansing IL 60438-3059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ebom, Maryann can be contacted via phone (708) 957-3101.

Contact Information

Primary practice address
18225 Burnham Ave Lansing IL 60438-3059
Phone: (708) 957-3101
Fax: (708) 991-2253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F10201531 Illinois

Profile Details

NPI number 1922601889
LBN Legal business name Ebom, Maryann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2020
Last updated Feb 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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