Individual
DR. YOLANDA RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4911 N EXECUTIVE DR, SUITE 200, PEORIA, IL 61614-4896
(309) 683-6700
(309) 683-6722
Mailing address
PO BOX 9276, PEORIA, IL 61612-9276
(309) 683-6704
(309) 683-6734
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360923462
—
IL
Enumeration date
10/27/2006
Last updated
07/08/2007
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