TIBESSA LAWRENCE-ELLIS

CHICAGO, IL
NPI1679979298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  277.003029)
Enumeration Date2014-11-10
Last Update Date2024-11-07
Business Address
TIBESSA LAWRENCE-ELLIS
835 S WOLCOTT AVE # E144
CHICAGO, IL 60612-3748
Phone number: 312-996-7420
Mailing Address
TIBESSA LAWRENCE-ELLIS
2119 S 24TH AVE
BROADVIEW, IL 60155-2823
Phone number: 708-223-0873
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