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Justin Joseph Young, PA-C

Physician Assistant in Chicago, IL. Individual provider (NPI-1).

NPI number1164052734
StatusActive
Last updated in NPPESDec 4, 2024

Details

NPI
1164052734
Entity type
Individual (NPI-1)
Name
Mr. Justin Joseph Young
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2020
Certification date
Dec 4, 2024
Last updated
Dec 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085009699ILYes
363A00000X Physician AssistantOA005192PA
363AM0700X Physician Assistant, MedicalMA061396PA

Practice location

675 N Saint Clair St Fl 17
Chicago, IL 60611-5975

Phone 312-695-3800 · Fax 312-695-3644

Mailing address

675 N Saint Clair St Fl 17
Chicago, IL 60611-5975

Phone 312-695-3800 · Fax 312-695-3644

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