MEDICARE: IRENE YANKELLOW DNP, FNP-BC

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	363L00000X	Nurse Practitioner	209020103	IL

General Provider Information

NPI Number	:	1629612817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE YANKELLOW DNP, FNP-BC

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:	847-390-4757

Provider Business Practice Location Address
First Line	:	900 W NELSON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6704
Country	:	US
Telephone Number	:	773-296-7089
Fax Number	:	773-296-7731

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

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	02/02/2026

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