person
Mrs. Leann B Young, PAC
Medical Physician Assistant in Peoria, Illinois
NPI 1104835768

Leann B Young is a Medical Physician Assistant based in Peoria, IL and is specialized in Medical. Leann B Young practices in Peoria, IL and has the professional credentials of PAC. The NPI Number for Leann B Young is 1104835768 and holds a License No. 085001383 (Illinois).

The current practice location address for Leann B Young is 8600 N Route 91, Peoria, IL and can be reached out via phone at 309-683-5059 and via fax at 309-683-5446.

Location: 8600 N Route 91, Peoria, IL, 61615
person
Provider Profile Details
NPI Number
1104835768
Provider Name
Leann B Young
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
8600 N Route 91, Peoria, IL, 61615
Phone Number
309-683-5059
Fax Number
309-683-5446
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
920006568 01 IL RAILROAD MEDICARE
P00608470 01 IL RR MEDICARE GROUP MEMBER PTAN
434110 01 IL MEDICARE GROUP
CA4079 01 IL RR MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
8600 N Route 91
City
State
Zip
61615
Phone Number
309-683-5059
Fax Number
309-683-5446
person
Provider Business Mailing Address Details
Address
8600 N Route 91
City
State
Zip
61615
Phone Number
309-683-5059
Fax Number
309-683-5446
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085001383 (Illinois)
Definition
Definition to come...
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