Individual
JONATHAN YOUNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 878-8200
Mailing address
5140 N CALIFORNIA AVE, SUITE 635/645, CHICAGO, IL 60625-3645
(773) 878-8200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-098912
IL
207Q00000X
Family Medicine Physician
Primary
036098912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336-060050
CONTROLLED SUBSTANCE LIC
IL
Enumeration date
06/14/2006
Last updated
03/07/2023
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