OrganizationActive
Ebony Wellness LLC
NPI 1003574757 · Gerontology Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1003574757
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Tammy Dobbin, Owner
Practice location
7531 S Stony Island Ave Ste 164
Chicago, IL 60649-3954
Phone: (773) 947-7689
Fax: (773) 947-7338
Mailing address
7220 W 83rd St
Bridgeview, IL 60455-1981
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.