Young, Michael J
Young, Michael J is an individual health care provider with primary practice located at 1011 W Wellington Ave Ste. 200, Chicago IL 60657-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Young, Michael J can be contacted via phone (773) 281-1011.Contact Information
Primary practice address
1011 W Wellington Ave Ste. 200
Chicago IL 60657-4325
Phone: (773) 281-1011
Fax: (773) 281-1029
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 036073765 | Illinois |
Profile Details
NPI number | 1861488892 |
---|---|
LBN Legal business name | Young, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Nov 11th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861488892 | NPPES |
Other | P00661914 | RAILROAD MEDICARE | |
MEDICAID | 036101015 | RAILROAD MEDICARE | |
Other | 1635877 | RAILROAD MEDICARE |
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