Renfroe, Yolanda

Renfroe, Yolanda is an individual health care provider with primary practice located at 4911 N Executive Dr Suite 200, Peoria IL 61614-4896. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Renfroe, Yolanda can be contacted via phone (309) 683-6700.

Contact Information

Primary practice address
4911 N Executive Dr Suite 200 Peoria IL 61614-4896
Phone: (309) 683-6700
Fax: (309) 683-6722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X Illinois

Profile Details

NPI number 1518043280
LBN Legal business name Renfroe, Yolanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1518043280 NPPES
Illinois MEDICAID 0360923462

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