Yvonne Annette Allen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209023106 Issued in IL

Practice address

19310 S Halsted St
Glenwood, IL 60425-1562

Phone

(708) 300-3132

Fax

(773) 790-4034

NPI assigned

May 18, 2021

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PMR Illinois Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1770038671

  IL, Single Specialty

  Medicare reassignment NPD
• Jencare Neighborhood Medical Center Glenwood, LLC

  • Specialist
  • Glenwood, IL
  • NPI 1477991891

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1144894890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 S HALSTED ST",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251562",
            "telephone_number": "708-300-3132",
            "fax_number": "773-790-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19310 S HALSTED ST",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251562",
            "telephone_number": "708-300-3132",
            "fax_number": "773-790-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "YVONNE",
        "middle_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina C Adams, LCSW
• Mohammed Adnan Khaleeluddin, D.O.
• Advocate Home Health Care and Wellness Council, Inc. (Advocate Home Health)
• Ahava Home Health, Inc.
• Aliya of Glenwood LLC
• Aperion Care Glenwood LLC (Aperion Care Glenwood)
• Aperion Care Glenwood LLC (Aperion Care Glenwood)
• Apex Care (President)
• Monique Shiquita Askew, LMSW
• Aunt Martha's Youth Service Center, Inc

• Family Nurse Practitioner in Glenwood, IL
• Providers in Glenwood, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.