Individual
MR. JUSTIN JOSEPH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST FL 17, CHICAGO, IL 60611-5975
(312) 695-3800
(312) 695-3644
Mailing address
675 N SAINT CLAIR ST FL 17, CHICAGO, IL 60611-5975
(312) 695-3800
(312) 695-3644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009699
IL
363A00000X
Physician Assistant
OA005192
PA
363AM0700X
Medical Physician Assistant
MA061396
PA
Other
Enumeration date
01/22/2020
Last updated
12/04/2024
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