Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Yvonne G Stallard, APN-CNP

Individual provider Gerontology Nurse Practitioner · NPI 1447984430

Yvonne G Stallard, APN-CNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Promed Preferred Mn PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5140 N California Ave
Chicago, IL 60625-3645
Phone: (773) 293-8878
Fax: (773) 293-8879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209025416 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209.025416 (IL)

Record details

NPI number1447984430
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Promed Preferred Mn Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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