TIBESSA LAWRENCE-ELLIS

BARTLETT, IL
NPI1679979298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209-012097)
Enumeration Date2014-11-10
Last Update Date2017-10-10
Business Address
TIBESSA LAWRENCE-ELLIS
1099 W ARMY TRAIL RD
BARTLETT, IL 60103-3001
Phone number: 630-372-3120
Mailing Address
TIBESSA LAWRENCE-ELLIS
2119 S 24TH AVE
BROADVIEW, IL 60155-2823
Phone number: 708-223-0873
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