Gayles, Keyona Dena

Gayles, Keyona Dena is an individual health care provider with primary practice located at 40 75Th St , Willowbrook IL 60527-2325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gayles, Keyona Dena can be contacted via phone (630) 405-8892.

Contact Information

Primary practice address
40 75Th St Willowbrook IL 60527-2325
Phone: (630) 405-8892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.019593 Illinois

Profile Details

NPI number 1669028312
LBN Legal business name Gayles, Keyona Dena
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Apr 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669028312 NPPES
Illinois Other 209.019593 IDFPR

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