Individual provider · Type 1 NPI

Brandie Raquel Yancy, PA

Physician Assistant · Chicago, IL

NPI number 1356717102 Active

Practice location

839 W 79th St
Chicago, IL 60620-2699

Call (312) 492-1220 Map

Fax (312) 492-1222

Mailing address

15112 Evers St
Dolton, IL 60419-2621

Other practice locations

1400 Otto Blvd, Chicago Heights, IL 60411-3871 · (708) 733-7200
15112 Evers St, Dolton, IL 60419-2621 · (708) 639-8770
117 W Paterson St, Kalamazoo, MI 49007-2557 · (269) 349-2641

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	085005981 (IL)
Medical Physician Assistant	363AM0700X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

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About NPI 1356717102

Brandie Raquel Yancy, PA's National Provider Identifier is 1356717102, issued on Aug 17, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 15, 2025.