Provider Demographics
NPI:1902780174
Name:ABEBE, PHILOMENA ELUEMUNOR
Entity type:Individual
Prefix:
First Name:PHILOMENA
Middle Name:ELUEMUNOR
Last Name:ABEBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ADVOCATE AURORA HEALTH CARE
Mailing Address - Street 2:1775 DEMPSTER AVENUE
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068
Mailing Address - Country:US
Mailing Address - Phone:847-723-2200
Mailing Address - Fax:
Practice Address - Street 1:ADVOCATE AURORA HEALTH CARE
Practice Address - Street 2:1775 DEMPSTER AVENUE
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068
Practice Address - Country:US
Practice Address - Phone:847-723-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209032352363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner