Individual
YVONNE LYNN FORNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCM
Contact information
Practice address
7619 NCR 32, HAVANA, IL 62644-6264
(309) 215-8213
(866) 260-8572
Mailing address
7619 NCR 32, HAVANA, IL 62644-6264
(309) 215-8213
(866) 260-8572
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041.299119
IL
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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