Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandie Raquel Yancy, PA

Individual provider Physician Assistant · NPI 1356717102

Brandie Raquel Yancy, PA is a Physician Assistant in Chicago, Illinois. Works from 4 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

839 W 79th St
Chicago, IL 60620-2699
Phone: (312) 492-1220
Fax: (312) 492-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1400 Otto Blvd, Chicago Heights, IL 60411-3871 — (708) 733-7200
  • 15112 Evers St, Dolton, IL 60419-2621 — (708) 639-8770
  • 117 W Paterson St, Kalamazoo, MI 49007-2557 — (269) 349-2641

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005981 (IL)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1356717102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 17, 2015
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 9, 2025

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