Individual
ABBY M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041353664
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209008629
IL
Other
Enumeration date
02/11/2011
Last updated
10/03/2022
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