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

Tibessa Lawrence-Ellis

Individual provider Nurse Practitioner · NPI 1679979298

Tibessa Lawrence-Ellis is a Nurse Practitioner in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

835 S Wolcott Ave # E144
Chicago, IL 60612-3748
Phone: (312) 996-7420
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 277.003029 (IL)

Record details

NPI number1679979298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2014
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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