Provider Demographics
NPI:1598858755
Name:YUNEVICH, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:YUNEVICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 N BLUE BELL BND
Mailing Address - Street 2:
Mailing Address - City:WATSEKA
Mailing Address - State:IL
Mailing Address - Zip Code:60970-7510
Mailing Address - Country:US
Mailing Address - Phone:815-922-6845
Mailing Address - Fax:815-432-3201
Practice Address - Street 1:11200 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8208
Practice Address - Country:US
Practice Address - Phone:815-922-6845
Practice Address - Fax:815-922-6845
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277.000281363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK50275Medicare PIN
ILK50276Medicare PIN