Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Wellness LLC

Organization Gerontology Nurse Practitioner · NPI 1003574757

Ebony Wellness LLC is a Gerontology Nurse Practitioner in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7531 S Stony Island Ave Ste 164
Chicago, IL 60649-3954
Phone: (773) 947-7689
Fax: (773) 947-7338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1003574757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Dobbin — Owner · (773) 960-3276
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address7220 W 83rd St, Bridgeview, IL 60455-1981

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