Individual provider · Type 1 NPI
Ekalak Yodchai
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1609395383
Active
Practice location
850 W Irving Park Rd
Chicago, IL 60613-3077
Mailing address
1598 Baytree Dr
Romeoville, IL 60446-4983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 041.386529 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277.005823 (IL) |
| Nurse Practitioner | 363L00000X | 209.016427 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609395383
Ekalak Yodchai's National Provider Identifier is 1609395383, issued on Sep 14, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Jul 10, 2026.