Individual
DAJAUNA F YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5125 MONROE ST, MATTESON, IL 60443-3072
(773) 368-7717
Mailing address
5125 MONROE ST, MATTESON, IL 60443-3072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209018840
IL
363LF0000X
Family Nurse Practitioner
Primary
71009077A
IN
Other
Enumeration date
05/02/2019
Last updated
03/09/2020
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