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EBONY WELLNESS LLC
NPI 1003574757
Nurse Practitioner - Gerontology in Chicago, IL

Active since November 30, 2021
7531 S STONY ISLAND AVE STE 164, CHICAGO, IL 60649(773) 947-7689(773) 947-7338 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY WELLNESS LLC (NPI 1003574757) is a healthcare organization registered as a gerontology in Chicago, Illinois and active in the NPI registry since November 2021. The organization lists Tammy Dobbin, Owner, as its authorized official.

NPPES Registry Identity

NPI1003574757
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameEBONY WELLNESS LLC
Location Address7531 S STONY ISLAND AVE STE 164Chicago, IL 60649-3954
Mailing Address7220 W 83rd StBridgeview, IL 60455-1981 · (773) 947-7689
Phone(773) 947-7689
Fax(773) 947-7338
Organization SubpartNo
Authorized OfficialTammy DobbinOwner · (773) 960-3276
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1003574757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
7531 S STONY ISLAND AVE STE 164, Chicago, IL 60649
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HFE79 INC
Nurse Practitioner (Gerontology)
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-7689
CYNTHIA M MITCHELL APRN
Nurse Practitioner (Family)
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-2831
SOL MED LLC
Family Medicine
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-2831
DR. SIME H ALEMU
General Practice
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (469) 924-4445
SUN MED LAB LLC
Family Medicine
7531 S STONY ISLAND AVE STE 164
CHICAGO, IL 60649
Cook County (773) 947-2831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Wellness LLC's NPI number?

The NPI number for Ebony Wellness LLC is 1003574757. It was assigned to this organization in the NPPES registry on November 30, 2021.

Where is Ebony Wellness LLC located?

Ebony Wellness LLC is located at 7531 S Stony Island Ave Ste 164, Chicago, IL 60649. The listed phone number is (773) 947-7689.

What is Ebony Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Ebony Wellness LLC was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.