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Lisa Young
Family Nurse Practitioner in Chicago, Illinois
NPI 1801979000

Lisa Young is a Family Nurse Practitioner based in Conshohocken, IL and is specialized in Family. Lisa Young practices in Chicago, IL. The NPI Number for Lisa Young is 1801979000 and holds a License No. 209-001713 (Illinois).

The current practice location address for Lisa Young is 11 E 75Th St, Chicago, IL and can be reached out via phone at 866-825-3227 and via fax at 484-351-3800.

Location: 11 E 75Th St, Chicago, IL, 19428-2083
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Provider Profile Details
NPI Number
1801979000
Provider Name
Lisa Young
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 E 75Th St, Chicago, IL, 19428-2083
Phone Number
866-825-3227
Fax Number
484-351-3800
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0325623-22 01 IL ANCC
institution
Provider Business Practice Location Address Details
Address
11 E 75Th St
City
State
Zip
60619-1601
Phone Number
866-825-3227
Fax Number
484-351-3800
person
Provider Business Mailing Address Details
Address
11 E 75Th St
City
State
Zip
60619-1601
Phone Number
866-825-3227
Fax Number
484-351-3800
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209-001713 (Illinois)
Definition
Definition to come...
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