EBONIE LEAH WILLIAMS (NPI# 1871002675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871002675 |
| Entity Type | Individual |
| Full Name | EBONIE LEAH WILLIAMS |
| Credential | FNP-BC |
| Practice Address |
11641 Sundance Trl Mokena IL 60448-2451 |
| Practice Telephone | 7087152035 |
| Mailing Telephone | 7087152035 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209016638 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184924979 | Ebonie Williams | Counselor | 215 Bluegrass Rd, C, Franklin, KY 42134-2459 | 2010-10-26 |
| 1730417486 | Ebonie Williams | Counselor | 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101-1250 | 2009-11-18 |
| Street Address |
11641 SUNDANCE TRL |
| City | MOKENA |
| State | IL |
| Zip Code | 60448-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167250 | Sarah Cupp | Nurse Practitioner | 19621 S La Grange Rd, Mokena, IL 60448-9360 | 2019-07-26 |
| 1811413263 | Tracy Matzinger | Nurse Practitioner | 19657 S La Grange Rd, Mokena, IL 60448-9360 | 2017-08-17 |
| 1386188365 | Bridget Ehman | Nurse Practitioner | 19585 Fiona Ave, Mokena, IL 60448-1791 | 2016-12-11 |
| 1831466143 | Rachel Michelle Brauer Dever | Nurse Practitioner | 11200 Lincoln Highway, Mokena, IL 60448 | 2011-11-30 |
| 1427150747 | Kimberly Kurtz Schunk | Nurse Practitioner | 11200 Lincoln Hwy, Mokena, IL 60448-8208 | 2006-09-05 |
| 1215936315 | Cynthia R Caine | Nurse Practitioner | 11200 W Lincoln Hwy, Mokena, IL 60448-8208 | 2005-07-20 |
| 1851990667 | Natalie M. Amodeo | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2020-10-22 |
| 1508348590 | Kelli Evans | Nurse Practitioner | 11200 Lincoln Hwy, Mokena, IL 60448-8208 | 2018-09-05 |
| 1417497165 | Joseph Anthony Brisbois | Nurse Practitioner | 11200 Lincoln Hwy, Mokena, IL 60448 | 2017-02-28 |
| 1275996811 | Sandra Wood | Nurse Practitioner | 11200 Lincoln Hwy, Mokena, IL 60448-8208 | 2016-03-31 |
| Find all providers in MOKENA | ||||
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| 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.