EBONY ROBERTS


Address: 16541 Oak Park Ave, Tinley Park, IL 60477-1752
Phone: 7085806165

EBONY ROBERTS (NPI# 1558988865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558988865
Entity Type Individual
Full Name EBONY ROBERTS
Practice Address 16541 Oak Park Ave
Tinley Park
IL 60477-1752
Mailing Address 15811 Central Ave Unit 84
Oak Forest
IL 60452-7604
Practice Telephone 7085806165
Enumeration Date 2020-07-02
Last Update Date 2020-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
Other Service Providers

Other Providers EBONY ROBERTS

NPI Name Taxonomy Address Enumeration
1275969412 Ebony Roberts Specialist/Technologist 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 2013-09-19

Office Location

Street Address 16541 OAK PARK AVE
City TINLEY PARK
State IL
Zip Code 60477-1752

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013522366 Joshua Gruenke Physical Therapist 17129 S. Harlem Avenue, Tinley Park, IL 60477 2020-09-14
1881229656 Sherrie Lynn Tsang Massage Therapist 7925 West 171st Street, Tinley Park, IL 60477 2020-03-11
1437782117 Du Page Medical Group Ltd Durable Medical Equipment & Medical Supplies 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 2020-02-20
1356998561 Rasa Vaskeviciute Physical Therapist 17129 So Harlem, Tinley Park, IL 60477 2019-08-22
1538728258 Michelle Anne Wisen Physical Therapy Assistant 17129 South Harlem, Suite B3, Tinley Park, IL 60477 2019-06-06
1073006151 Danielle Lyon Counselor 6801 West 180th Court, Tinley Park, IL 60477 2018-06-13
1316445794 Yvonne Tran Physical Therapist 17129 S Harlem Ave, Tinley Park, IL 60477 2018-01-31
1326574591 Nicholas Barker Chronic Disease Hospital 7859 Joliet Drive North, Tinley Park, IL 60477 2017-05-10
1982063632 Nicole Kristine Demarco Specialist/Technologist 16317 Clark Ln, Tinley Park, IL 60477 2016-02-22
1376900571 Ucp Seguin Greater Chicago Foster Care Agency 7550 W. 183rd, Tinley Park, IL 60477 2016-01-20
Find all providers in zip 60477

Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851856983 Restore 3:16, LLC Specialist 16060 Oak Park Ave Ste 110, Tinley Park, IL 60477-1626 2019-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366059008 Jena Young Specialist 19 Sapphire Ln, Fairview Heights, IL 62208-2641 2020-09-27
1164034633 Michelle Coburn Specialist 8327 S Loomis Blvd, Chicago, IL 60620-3958 2020-08-17
1073135729 Marquita Daniel Specialist 9295 159th St Ste 131, Orland Hills, IL 60487-5977 2020-05-15
1760021703 Monica Bembry Specialist 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 2019-12-21
1164072831 Brandi Fields Specialist 6400 W Main St Ste 3k, Belleville, IL 62223-3806 2019-09-16
1669029096 Akossiwa Amenyo Specialist 625 S Lincoln Ave, O Fallon, IL 62269-2663 2019-08-21
1043878747 Kermitt Alexander Specialist 1575 Sibley Blvd, Calumet City, IL 60409-2304 2019-05-29
1508421579 Jorell Glass Specialist 456 Fulton St Ste 180, Peoria, IL 61602-1292 2019-05-06
1114582368 Shundrea Neely Specialist 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 2019-05-03
1730644568 Ashley Nicole Morgan Specialist 7732 S Evans Ave, Chicago, IL 60619-2909 2019-02-06
Find all providers with the same taxonomy

Competitor

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City TINLEY PARK
Zip Code 60477

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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