RICHARD YULLAMBO YENKONG (NPI# 1942795430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942795430 |
| Entity Type | Individual |
| Full Name | RICHARD YULLAMBO YENKONG |
| Credential | APN |
| Practice Address |
2270 Jericho Rd Apt A5 Montgomery IL 60538-5621 |
| Practice Telephone | 6308030551 |
| Mailing Telephone | 6308030551 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209017832 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2270 JERICHO RD APT A5 |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1710470554 | Andrea Kaye Steinbrink | Nurse Practitioner | 1758 Park Pl Ste 406, Montgomery, AL 36106-1135 | 2018-06-06 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
Please comment or provide details below to improve the information on RICHARD YULLAMBO YENKONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.