Individual
ELIZABETH A EBEYWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
19000 HALSTED ST, HOMEWOOD, IL 60430-4204
(708) 957-9200
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041.433397
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.024404
IL
Other
Enumeration date
10/13/2022
Last updated
06/04/2024
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