Individual
GEORDONI YVETTE MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6609 S FAIRFIELD AVE, CHICAGO, IL 60629-1709
(773) 507-6550
Mailing address
6609 S FAIRFIELD AVE, CHICAGO, IL 60629-1709
(773) 507-6550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019123
IL
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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