Individual
MRS. OLGA V YOHALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9150 GRANFORD AVE L & Y GROUP S.C., SUITE 107, SKOKIE, IL 60076-1769
(847) 329-7799
Mailing address
760 BUSSE HWY, PARK RIDGE, IL 60068-2402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.012431
IL
363L00000X
Nurse Practitioner
Primary
209012431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349981169001
—
IL
Enumeration date
12/05/2015
Last updated
03/11/2020
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