Individual
YVONNE G STALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 293-8878
(773) 293-8879
Mailing address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 293-8878
(773) 293-8879
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025416
IL
363LG0600X
Gerontology Nurse Practitioner
209.025416
IL
Other
Enumeration date
07/14/2022
Last updated
11/09/2022
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