Individual
BRYCE YANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3210
(217) 383-3510
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209016631
IL
363LF0000X
Family Nurse Practitioner
Primary
277002544
IL
Other
Enumeration date
09/21/2017
Last updated
10/07/2025
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