Individual
EBONIE LEAH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11641 SUNDANCE TRL, MOKENA, IL 60448-2451
(708) 715-2035
Mailing address
11641 SUNDANCE TRL, MOKENA, IL 60448-2451
(708) 715-2035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016638
IL
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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