Organization
MICHAEL J YOUNG M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J YOUNG M.D. (PRESIDENT OWNER)
(312) 867-7430
Entity
Organization
Contact information
Practice address
711 W NORTH AVE, SUITE 212, CHICAGO, IL 60610-1174
(312) 867-7430
(312) 867-7431
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622110
BCBS PROVIDER ID
IL
01
—
476170
OLD MEDICARE-LOCALITY 16
IL
01
—
631006
ADVOCATE HLTH PARTNERS ID
IL
01
—
DB5977
RAILROAD MEDICARE
IL
Enumeration date
01/24/2007
Last updated
04/20/2008
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