Individual
MS. EBONEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
10615 S PERRY AVE, CHICAGO, IL 60628-2634
(312) 428-1265
Mailing address
10615 S PERRY AVE, CHICAGO, IL 60628-2634
(312) 428-1265
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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