Individual
CHARLENE J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4909
(217) 545-8417
(217) 545-8039
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
11/09/2005
Last updated
10/16/2007
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