Individual
ANGELA YECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1602
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041466199
REGISTERED NURSE LICENSE
IL
05
—
209.026109
—
IL
Enumeration date
10/04/2022
Last updated
12/20/2022
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