Provider Demographics
NPI:1235716192
Name:CHRISTMAS, YEFOONAH (FNP)
Entity Type:Individual
Prefix:
First Name:YEFOONAH
Middle Name:
Last Name:CHRISTMAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W ERIE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-5706
Mailing Address - Country:US
Mailing Address - Phone:312-998-0645
Mailing Address - Fax:
Practice Address - Street 1:520 W ERIE ST STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-5706
Practice Address - Country:US
Practice Address - Phone:773-733-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209023201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily