Johnson, Ebony Talise

Johnson, Ebony Talise is an sole proprietor health care provider with primary practice located at 1216 West 97Th Place , Chicago IL 60643. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / School, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Infusion Therapy. Agencies / Home Infusion is her primary health care specialty. Johnson, Ebony Talise can be contacted via phone (708) 543-0632.

Contact Information

Primary practice address
1216 West 97Th Place Chicago IL 60643
Phone: (708) 543-0632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 041418831 Illinois
Agencies / Home Infusion 251F00000X 28293616A Indiana
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 041418831 Illinois
Agencies / Home Infusion 251F00000X 041418831 Illinois
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 041418831 Illinois
Nursing Service Providers / Infusion Therapy 163WI0500X 28293616A Indiana
Nursing Service Providers / Infusion Therapy 163WI0500X 041418831 Illinois

Profile Details

NPI number 1922813401
LBN Legal business name Johnson, Ebony Talise
Credentials BSN-RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2025
Last updated Feb 11th, 2025 - about last year

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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