Individual
EBONY MARIE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PN
Contact information
Practice address
108 MEADOWDALE CT APT 308, CARPENTERSVILLE, IL 60110-2036
(312) 721-2153
Mailing address
108 MEADOWDALE CT APT 308, CARPENTERSVILLE, IL 60110-2036
(312) 721-2153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.120095
IL
376K00000X
Nurse's Aide
342266
WI
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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