Individual
YOUNG-IL RO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 203RD ST STE 201, OLYMPIA FIELDS, IL 60461-1182
(708) 679-2120
(708) 503-3230
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036059539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059539
—
IL
Enumeration date
04/17/2006
Last updated
03/29/2021
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