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
Fax: (773) 281-1029
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861488892 NPPES
Illinois MEDICAID 036101015
Illinois Other P00661914
Illinois Other 1635877

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