Individual
MERSAYDES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-2737
Mailing address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-2732
(312) 864-9619
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
458796214
IL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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