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Individual
DR. MARYANN EBOM
Active
Individual
DR. MARYANN EBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10201531
IL
Other
Enumeration date
11/20/2020
Last updated
04/23/2025
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