DR. MARYANN EBOM DNP, PMHNP, FNP
NPI 1922601889
Nurse Practitioner - Family in Lansing, IL

Q: What is Maryann Ebom's NPI number?

The NPI number for Maryann Ebom is 1922601889. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Q: What is Maryann Ebom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maryann Ebom was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since November 20, 2020

18225 BURNHAM AVE, LANSING, IL 60438(708) 957-3101(708) 991-2253 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, Feb 9, 2021, Nov 20, 2020 (3 updates tracked since 2020).

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About Dr. Maryann Ebom Dnp, Pmhnp, Fnp NPPES

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

DR. MARYANN EBOM DNP, PMHNP, FNP (NPI 1922601889) is an individual family provider in Lansing, Illinois, licensed in Illinois (F10201531) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1922601889

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. MARYANN EBOMCredential: DNP, PMHNP, FNP

Location Address18225 BURNHAM AVELansing, IL 60438-3059

Mailing Address3240 186th StHomewood, IL 60430-2798 · (708) 957-3101 · Fax (708) 991-2253

Phone(708) 957-3101

Fax(708) 991-2253

Sole ProprietorYes

Enumeration DateNovember 20, 2020

Last NPPES UpdateApril 23, 20253 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1922601889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · F10201531

18225 BURNHAM AVE, Lansing, IL 60438

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. CHERYL LEE COLE LCPC, LMFT

Marriage & Family Therapist

18225 BURNHAM AVE, SUITE 14
LANSING, IL 60438

Cook County (708) 418-5227

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 Maryann Ebom's NPI number?

The NPI number for Maryann Ebom is 1922601889. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Maryann Ebom located?

Maryann Ebom practices at 18225 Burnham Ave, Lansing, IL 60438. The listed phone number is (708) 957-3101.

What is Maryann Ebom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Maryann Ebom was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.