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Roger Young, NP
Nurse Practitioner in Salem, Illinois
NPI 1952399511

Roger Young is a Nurse Practitioner based in Salem, IL. Roger Young practices in Salem, IL and has the professional credentials of NP. The NPI Number for Roger Young is 1952399511 and holds a License No. 041255812 (Illinois).

The current practice location address for Roger Young is 1250 W Whittaker St, Salem, IL and can be reached out via phone at 618-548-3740 and via fax at 618-548-3705.

Location: 1250 W Whittaker St, Salem, IL, 62881-1917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952399511
Provider Name
Roger Young
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1250 W Whittaker St, Salem, IL, 62881-1917
Phone Number
618-548-3740
Fax Number
618-548-3705
Provider Enumeration Date
10/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110230526 01 IL RAILROAD MEDICARE
207988 01 IL GRP MEDICARE NUMBER
CJ2166 01 IL RR MEDICARE GROUP NUMBER
500025714 01 IL RAILROAD MEDICARE NUMBER
208959 01 IL GRP MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
1250 W Whittaker St
City
Salem
State
Illinois
Zip
62881-1917
Phone Number
618-548-3740
Fax Number
618-548-3705
person
Provider Business Mailing Address Details
Address
1250 W Whittaker St
City
Salem
State
Illinois
Zip
62881-1917
Phone Number
618-548-3740
Fax Number
618-548-3705
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
041255812 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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