Ebersole, John Warren

Ebersole, John Warren is an individual health care provider with primary practice located at 2650 Ridge Ave Ste 1304 , Evanston IL 60201-1718. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ebersole, John Warren can be contacted via phone (847) 570-2477.

Contact Information

Primary practice address
2650 Ridge Ave Ste 1304 Evanston IL 60201-1718
Phone: (847) 570-2477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125061655 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036143255 Illinois

Profile Details

NPI number 1649535782
LBN Legal business name Ebersole, John Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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