Individual
BRANDIE RAQUEL YANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
839 W 79TH ST, CHICAGO, IL 60620-2699
(312) 492-1220
(312) 492-1222
Mailing address
15112 EVERS ST, DOLTON, IL 60419-2621
(708) 639-8770
(312) 492-1222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005981
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/17/2015
Last updated
01/15/2025
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