Individual
MICHELE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9295 RACHEL DR, WONDER LAKE, IL 60097-8181
(847) 553-1488
Mailing address
9295 RACHEL DR, WONDER LAKE, IL 60097-8181
(847) 553-1488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017212
IL
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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