MARYANN EBOM

LANSING, IL
NPI1922601889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  F10201531)
Enumeration Date2020-11-20
Last Update Date2021-02-09
Business Address
MARYANN EBOM
18225 BURNHAM AVE
LANSING, IL 60438-3059
Phone number: 708-957-3101
Mailing Address
MARYANN EBOM
3240 186TH ST
HOMEWOOD, IL 60430-2798
Phone number: 708-957-3101
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