EBONI VAUGHN

NAPERVILLE, IL
NPI1417444969
Former NameEBONI SIMMONS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209017491)
Enumeration Date2018-04-20
Last Update Date2018-06-19
Business Address
EBONI VAUGHN FNP
63 W 87TH ST
NAPERVILLE, IL 60565
Phone number: 630-778-7645
Mailing Address
EBONI VAUGHN FNP
5309 IMPERIAL DR
RICHTON PARK, IL 60471-1557
Phone number: 708-297-7325