Individual
NANCY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(630) 789-2550
Mailing address
P O BOX 87618, DEPT 10243, CHICAGO, IL 60680-0618
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
036-068870
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068870
—
IL
01
—
1627123
BCBS PROVIDER ID
IL
Enumeration date
09/20/2005
Last updated
12/23/2011
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