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Individual

MS. BONNIE C YATES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCPC RN MAC CRADC

Contact information

Practice address
217 W MAIN ST, WEST DUNDEE, IL 60118-2018
(847) 551-1217
(847) 551-9692
Mailing address
217 W MAIN ST, WEST DUNDEE, IL 60118-2018
(847) 551-1217
(847) 551-9692

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
IL
163W00000X
Registered Nurse
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04508001
BLUE CROSS BLUE SHIELD
01
N4U91
MAGELLAN & EMPIRE BLUE CR
Enumeration date
12/23/2005
Last updated
09/11/2025
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