Individual
DR. EBONY L LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, GALTER 3, CHICAGO, IL 60611-2908
(312) 926-2253
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125061932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125061932
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
07/03/2012
Last updated
03/17/2025
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