Richard Yullambo Yenkong, APN is a
Nurse Practitioner - Family based in Montgomery, Illinois. Richard Yullambo Yenkong is licensed to practice in Illinois (license number 209017832) and his current practice location is
2270 Jericho Rd Apt A5, Montgomery, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 803-0551.
NPI number for Richard Yullambo Yenkong is 1942795430 and his current mailing address is 2270 Jericho Rd Apt A5, Montgomery, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942795430.
Provider's Profile
| Full Name | Richard Yullambo Yenkong |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2270 Jericho Rd Apt A5, Montgomery, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942795430
- Provider Enumeration Date: 06/27/2018
- Last Update Date: 06/27/2018
Medical Identifiers
Medical identifiers for Richard Yullambo Yenkong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942795430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209017832 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Yullambo Yenkong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Richard Yullambo Yenkong, APN 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 Ph: (630) 803-0551 | Richard Yullambo Yenkong, APN 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 Ph: (630) 803-0551 |
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