Individual provider · Type 1 NPI

Nicholas Yonan

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1699575076 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 216-7766 Map

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Other practice locations

  • 530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699575076

Nicholas Yonan's National Provider Identifier is 1699575076, issued on Mar 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on Apr 9, 2026.