Provider Demographics
NPI:1932699345
Name:YI, YEYIN (DNP, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:YEYIN
Middle Name:
Last Name:YI
Suffix:
Gender:F
Credentials:DNP, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 N DELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-2518
Mailing Address - Country:US
Mailing Address - Phone:847-773-5163
Mailing Address - Fax:
Practice Address - Street 1:804 N DELPHIA AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-2518
Practice Address - Country:US
Practice Address - Phone:847-773-5163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.016234363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care