Ebony Roberts
NPI #1558988865 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1558988865
- Entity Type
- Individual
- Name
- Ebony Roberts
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Jul 2, 2020
- Last Updated
- Jul 2, 2020
Practice Location
- Address
- 16541 OAK PARK AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-1752
- Phone
- (708) 580-6165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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| MR. Stephen M Lathrop, C.PED. | |
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Organizations
| Provider Name | |
|---|---|
| Restore 3:16, LLC |
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