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General NPI Number Information
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NPI Number | 1003703372
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Entity Type | Organization
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Legal Business Name | Y&S BALANCED WELLNESS, PLLC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 83 TEMPLETON DR STE C
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City | OSWEGO
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State | IL
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Zip | 60543-7022
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Country | US
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Telephone | 630-277-9127
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Fax | 855-529-4544
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Provider Business Mailing Address
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Address Line | 2600 OAK ST # 1541
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City | ST CHARLES
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State | IL
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Zip | 60175-1536
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Country | US
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Telephone | 630-277-9127
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Fax | 855-529-4544
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. YOLANDA CHENOWETH
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Credential | NP
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Telephone | 630-277-9127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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