Heath, Yolanda Shontel

Heath, Yolanda Shontel is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heath, Yolanda Shontel can be contacted via phone (847) 384-3305.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068
Phone: (847) 384-3305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28131654A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010109 Illinois

Profile Details

NPI number 1972847085
LBN Legal business name Heath, Yolanda Shontel
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Jun 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972847085 NPPES
Indiana MEDICAID 1972847085

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