Healthcare Provider Details

I. General information

NPI: 1386330280
Provider Name (Legal Business Name): SARAH E YODER APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N WINFIELD RD STE 500
WINFIELD IL
60190-1379
US

IV. Provider business mailing address

25 N WINFIELD RD STE 500
WINFIELD IL
60190-1379
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0280
  • Fax: 630-933-3626
Mailing address:
  • Phone: 630-232-0280
  • Fax: 630-933-3626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041426383
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number20900434
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: