Organization
EDEN ELON MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY P BELLE-JOHNSON APN-BC FPA (ADVANCED PRACTICE NURSE PRACTITIONE)
(708) 250-8799
Entity
Organization
Contact information
Practice address
6307 FOX RIDGE DR, PLAINFIELD, IL 60586-5565
(708) 250-8799
Mailing address
6307 FOX RIDGE DR, PLAINFIELD, IL 60586-5565
(708) 250-8799
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841736642
—
IL
Enumeration date
07/30/2025
Last updated
07/30/2025
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