Geordoni Yvette McKoy, NP
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1164042701
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1164042701
- Entity type
- Individual (NPI-1)
- Name
- Geordoni Yvette McKoy
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2020
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209019123 | IL | Yes |
Practice location
6609 S Fairfield AveChicago, IL 60629-1709
Phone 773-507-6550
Mailing address
6609 S Fairfield AveChicago, IL 60629-1709
Phone 773-507-6550
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