Individual
YOOMI KENYON BRENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 232-0280
(630) 232-3895
Mailing address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 232-0280
(630) 232-3895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009499
IL
363LA2200X
Adult Health Nurse Practitioner
209009499
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147124
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RR MEDICARE PTAN (GROUP)
IL
01
—
P01098970
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/21/2012
Last updated
11/08/2024
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