Healthcare Provider Details

I. General information

NPI: 1710584834
Provider Name (Legal Business Name): MYA YEE NANDAR APRN, FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 GOLF RD STE 1200
ROLLING MEADOWS IL
60008-4229
US

IV. Provider business mailing address

355 FALLBROOK CT
SCHAUMBURG IL
60194-4933
US

V. Phone/Fax

Practice location:
  • Phone: 773-395-0937
  • Fax:
Mailing address:
  • Phone: 808-989-9192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209021540
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209021540
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: