Doctor Name: | MRS. MICHELLE YONKUS |
NPI Number: | 1124464110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 209010425 |
Business Practice Address: | 500 E 22nd St Ste A Lombard, IL - 601486102 |
Business Phone Number: | 6306208061 |
Business Fax Number: | |
Mailing Address: | 500 E 22nd St Ste A, LOMBARD |
State: | IL |
Postal Code: | 601486102 |
Phone Number: | 6306208061 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 209010425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |