Individual
LAURENCE YUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2504 COMMERCE LANE, HIGHLAND, IL 62249-1677
(618) 651-9777
(618) 651-3419
Mailing address
2504 COMMERCE LANE, HIGHLAND, IL 62249-1677
(618) 651-9777
(618) 651-3419
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036118642
IL
207Q00000X
Family Medicine Physician
036118642
IL
207Q00000X
Family Medicine Physician
Primary
5101013067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118642-3
—
IL
05
—
1376653352
—
MO
01
—
1811135882
BCBS
IL
Enumeration date
08/30/2006
Last updated
07/12/2022
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