Young Jough, M.D., P.C.

LBN: Young Jough, M.D., P.C.
Young Jough, M.D., P.C. is an health care organization with primary practice located at 2320 E 93Rd St , Chicago IL 60617-3983. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Rehabilitation Hospital. Hospitals / Rehabilitation Hospital is the primary health care specialty. Young Jough, M.D., P.C. can be contacted via phone (773) 967-5221, or through Jough, Young via phone (773) 967-5221.

Contact Information

Primary practice address
2320 E 93Rd St Chicago IL 60617-3983
Phone: (773) 967-5221
Fax: (773) 967-5972
Website:
Map and Directions
Authorized official contact:
Name: Jough, Young Doctor of Medicine (MD)
Phone: (773) 967-5221

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 036051666 Illinois
Hospitals / Rehabilitation Hospital 283X00000X 036051666 Illinois

Profile Details

NPI number 1144431545
LBN Legal business name Young Jough, M.D., P.C.
DBA Doing business as
Authorized official Jough, Young Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
Last updated Aug 27th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144431545 NPPES
Illinois Other 0002201149 BLUE SHIELD
Illinois MEDICAID 036051666 BLUE SHIELD

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