Yvonetta White, is a
Licensed Practical Nurse based in Forest Park, Illinois. Yvonetta White is licensed to practice in Illinois (license number 043063207) and her current practice location is
422 Elgin Ave Apt 1, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 714-7435.
NPI number for Yvonetta White is 1235993676 and her current mailing address is 422 Elgin Ave Apt 1, Forest Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235993676.
Provider's Profile
Full Name | Yvonetta White |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 422 Elgin Ave Apt 1, Forest Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235993676
- Provider Enumeration Date: 02/07/2024
- Last Update Date: 02/07/2024
Medical Identifiers
Medical identifiers for Yvonetta White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235993676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043063207 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yvonetta White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yvonetta White, 422 Elgin Ave Apt 1, Forest Park, IL 60130-3179 Ph: (708) 714-7435 | Yvonetta White, 422 Elgin Ave Apt 1, Forest Park, IL 60130-3179 Ph: (708) 714-7435 |
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