| Ebonie Leah Williams, FNP-BC | |
|
11641 Sundance Trl, Mokena, IL 60448-2451 | |
| (708) 715-2035 | |
| Not Available |
| Full Name | Ebonie Leah Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11641 Sundance Trl, Mokena, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871002675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209016638 (Illinois) | Primary |
| Entity Name | Family Doc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700117942 PECOS PAC ID: 0042341471 Enrollment ID: O20100629000851 |
| Entity Name | Familydoc Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245880715 PECOS PAC ID: 0446581417 Enrollment ID: O20191007002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ebonie Leah Williams, FNP-BC 11641 Sundance Trl, Mokena, IL 60448-2451 Ph: (708) 715-2035 | Ebonie Leah Williams, FNP-BC 11641 Sundance Trl, Mokena, IL 60448-2451 Ph: (708) 715-2035 |
Cynthia Phillips, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Mrs. Shonda Lynn Farris, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Dr. Victoria O. Fadiya, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9405 Bormet Dr Ste 10, Mokena, IL 60448 Phone: 708-481-0095 Fax: 866-299-8890 | |
Ms. Irene Bresingham, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Lindsie Fransen, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 866-389-2727 | |
Sarah Cupp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11243 W Laporte Rd, Mokena, IL 60448 Phone: 708-479-4681 Fax: 708-479-8516 | |
Ann Lynn Pampalone, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 Fax: 815-464-2176 |