Individual
NANNETTE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HOOKER ST STE 301, CHICAGO, IL 60642-4633
(312) 943-3600
(866) 314-6133
Mailing address
7960 S PHILLIPS AVE, CHICAGO, IL 60617-1235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041270995
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
05/17/2017
Last updated
05/17/2017
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