RICHARD YULLAMBO YENKONG

MONTGOMERY, IL
NPI1942795430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209017832)
Enumeration Date2018-06-27
Last Update Date2018-06-27
Business Address
RICHARD YULLAMBO YENKONG APN
2270 JERICHO RD APT A5
MONTGOMERY, IL 60538-5621
Phone number: 630-803-0551
Mailing Address
RICHARD YULLAMBO YENKONG APN
2270 JERICHO RD APT A5
MONTGOMERY, IL 60538-5621
Phone number: 630-803-0551
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