Individual
MICHAEL J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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