Individual
MS. EBONIE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E OHIO ST, SUITE 1621, CHICAGO, IL 60611-3262
(312) 523-9084
Mailing address
211 E OHIO ST, SUITE 1621, CHICAGO, IL 60611-3262
(312) 523-9084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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