Individual
JULIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 SANCTUARY DR, 204A, LAKE VILLA, IL 60046-7877
(708) 373-4681
Mailing address
855 SANCTUARY DR, 204A, LAKE VILLA, IL 60046-7877
(708) 373-4681
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2181405
IL
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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