Individual
DR. TRICIA MOO-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, WALGREEN BUILDING SUITE 2507, EVANSTON, IL 60201-1718
(847) 570-1316
(847) 570-2930
Mailing address
2650 RIDGE AVE, WALGREEN BUILDING SUITE 2507, EVANSTON, IL 60201-1718
(847) 570-1316
(847) 570-2930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.123221
IL
208600000X
Surgery Physician
2004028841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207547605
—
MO
Enumeration date
07/13/2006
Last updated
02/12/2021
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