Active NPI
Laura Ebner, MD
- Behavioral Neurology & Neuropsychiatry Physician
- Lombard, IL
National Provider Identifier
1497998652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- 036165283
- Practice address
- 229 S Main St Apt 2a
Lombard, IL 60148-2734 - Phone
- (224) 519-6480
- NPI assigned
- Apr 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 036165283 | IL | Primary |
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | D00699599 | MD | |
| Addiction Psychiatry Physician | 2084P0802X | D0069959 | MD | |
| Psychiatry Physician | 2084P0800X | D0069959 | MD | |
| Geriatric Psychiatry Physician | 2084P0805X | D0069959 | MD | |
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | D0069959 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D0069959 | MD |
Addresses
Primary practice location
229 S Main St Apt 2a
Lombard, IL 60148-2734
Mailing address
229 S Main St Apt 2a
Lombard, IL 60148-2734
Phone (224) 519-6480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00699599 | MD | MD | Brain Injury Medicine (Psychiatry & Neurology) Physician |
| D0069959 | MD | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1497998652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 S MAIN ST APT 2A",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482734",
"telephone_number": "224-519-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 S MAIN ST APT 2A",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482734",
"telephone_number": "224-519-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBNER",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "IL",
"license": "036165283",
"primary": true
},
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "MD",
"license": "D00699599",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MD",
"license": "D0069959",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0069959",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MD",
"license": "D0069959",
"primary": false
},
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "MD",
"license": "D0069959",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D0069959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.