Individual
MICHAEL J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 W WELLINGTON AVE, STE. 200, CHICAGO, IL 60657-4325
(773) 281-1011
(773) 281-1029
Mailing address
1011 W WELLINGTON AVE, STE. 200, CHICAGO, IL 60657-4325
(773) 281-1011
(773) 281-1029
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036073765
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101015
—
IL
01
—
1635877
BCBS
—
01
—
P00661914
RAILROAD MEDICARE
—
Enumeration date
09/26/2005
Last updated
11/11/2013
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