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Individual

EBELE N ILOABACHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
141 MARKET PL STE 100, FAIRVIEW HEIGHTS, IL 62208-2089
(618) 398-4226
(618) 398-1759
Mailing address
7006 STONY RIDGE RD, SAINT LOUIS, MO 63129-6405

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2012036151
MO
363LF0000X
Family Nurse Practitioner
209.010250
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021048982
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277003973
IL

Other

Enumeration date
12/05/2012
Last updated
05/30/2025
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