Organization
EBONY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY DOBBIN NP (OWNER)
(773) 960-3276
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE STE 164, CHICAGO, IL 60649-3954
(773) 947-7689
(773) 947-7338
Mailing address
7220 W 83RD ST, BRIDGEVIEW, IL 60455-1981
(773) 947-7689
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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