Provider Demographics
NPI:1356094973
Name:GILL, YOLANDA S
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:S
Last Name:GILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:786 INLAND CIR APT 302
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-0254
Mailing Address - Country:US
Mailing Address - Phone:773-703-0202
Mailing Address - Fax:
Practice Address - Street 1:786 INLAND CIR APT 302
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-0254
Practice Address - Country:US
Practice Address - Phone:773-717-8563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health