MEDICARE: KAREN YUNEVICH

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	363LF0000X	Family Nurse Practitioner	277.000281	IL

General Provider Information

NPI Number	:	1598858755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN YUNEVICH

Provider Business Mailing Address
First Line	:	1603 N BLUE BELL BND
Second Line	:
City	:	WATSEKA
State	:	IL
Zip	:	60970-7510
Country	:	US
Telephone Number	:	815-922-6845
Fax Number	:	815-432-3201

Provider Business Practice Location Address
First Line	:	11200 W LINCOLN HWY
Second Line	:
City	:	MOKENA
State	:	IL
Zip	:	60448-8208
Country	:	US
Telephone Number	:	815-922-6845
Fax Number	:	815-922-6845

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	11/04/2019

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Directions to “ KAREN YUNEVICH ” Practice Location

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