Individual
BENYA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
467 W DEMING PL, SUITE 900, CHICAGO, IL 60614-1881
(773) 327-2950
Mailing address
2300 N CHILDRENS PLZ, #64, CHICAGO, IL 60614-3363
(312) 573-4515
(312) 573-8405
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019025443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019025443
—
IL
Enumeration date
11/06/2006
Last updated
07/08/2007
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