Individual
DANEBELL O EHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6006 COLGATE LN, MATTESON, IL 60443-1995
(708) 323-7866
Mailing address
6006 COLGATE LN, MATTESON, IL 60443-1995
(708) 323-7866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022642
IL
Other
Enumeration date
01/14/2021
Last updated
02/01/2021
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