Search › Illinois › 343900000X
Ebone Porch
NPI 1023780939 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1953 W Maypole Ave
Chicago, IL 60612 - Phone
- (773) 620-0434
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 342000000X
343800000X
347C00000X
347E00000X
390200000X - Sex
- Female
- Record last updated
- 2021-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois