Mccall, Yvonne M

Mccall, Yvonne M is an individual health care provider with primary practice located at 1701 W. Garden Street , Peoria IL 61605-3531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccall, Yvonne M can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
1701 W. Garden Street Peoria IL 61605-3531
Fax: (309) 680-7637
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5160373-1206 Utah

Profile Details

NPI number 1922168293
LBN Legal business name Mccall, Yvonne M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated Jan 16th, 2014 - about 10 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 1922168293 NPPES
Utah Other 5160373-1206 STATE LICENSE
Utah Other 5160373-8906 STATE LICENSE
Utah Other 085-003423 STATE LICENSE
Utah Other 1054008 STATE LICENSE
Utah Other PRA07224 STATE LICENSE

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