MEDICARE: YVONNE OLDAKER CNM/APRN-FPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife
2	363L00000X	Nurse Practitioner	277003181	IL

General Provider Information

NPI Number	:	1659757888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE OLDAKER CNM/APRN-FPA

Provider Business Mailing Address
First Line	:	PO BOX 1584
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-0584
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19831 GOVERNORS HWY
Second Line	:
City	:	FLOSSMOOR
State	:	IL
Zip	:	60422-2001
Country	:	US
Telephone Number	:	312-592-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2015
Last Update Date	:	01/14/2025

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Directions to “ YVONNE OLDAKER CNM/APRN-FPA” Practice Location

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