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1003574757
EBONY WELLNESS LLC
CHICAGO, IL
NPI
1003574757
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Entity Type
Organization
Authorized Contact
TAMMY DOBBIN
Owner
773-960-3276
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
EBONY WELLNESS LLC
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649-3954
Phone number: 773-947-7689
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Mailing Address
EBONY WELLNESS LLC
7220 W 83RD ST
BRIDGEVIEW, IL 60455-1981
Phone number: 773-947-7689
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