Individual
YVONNE SCHOONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Mailing address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041268938
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209005408
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616108
BCBS
IL
Enumeration date
05/16/2006
Last updated
04/22/2011
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