MR. JUSTIN T YOUNG (NPI# 1043508492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043508492 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN T YOUNG |
| Credential | M.D. |
| Practice Address |
10834 S Doty Ave Chicago IL 60628 |
| Mailing Address |
1520 N Damen Ave Chicago IL 60622-1967 |
| Practice Telephone | 3122686630 |
| Practice Fax Number | 3122686628 |
| Mailing Telephone | 3122835560 |
| Mailing Fax Number | 7736978351 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036136652 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962895920 | Justin Young | Specialist/Technologist | 3101 New London Ct Apt 510, Lafayette, IN 47909-5312 | 2015-03-13 |
| 1033370945 | Justin Coleman Young | General Practice | 3019 Washington Blvd, Marina Del Rey, CA 90292-5548 | 2008-06-23 |
| 1215564182 | Justin Robert Young | Student in an Organized Health Care Education/Training Program | 300 George St Ste 901, New Haven, CT 06511-6662 | 2020-03-23 |
| 1164052734 | Justin Joseph Young | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-01-22 |
| 1780224469 | Justin Young | Counselor | 405 W 5th St, Santa Ana, CA 92701-4599 | 2020-01-10 |
| 1922650514 | Justin Noah Young | Behavior Technician | 4412 6th Ave, Tacoma, WA 98406-3500 | 2019-07-12 |
| 1801454806 | Justin R Young | Physical Therapist | 28 N Clark St, Chicago, IL 60602-2716 | 2019-06-04 |
| 1457709438 | Justin Michael Young | Dentist | 5319 S Lewis Ave, 222, Tulsa, OK 74105-6500 | 2016-05-31 |
| 1447695796 | Justin Collins Young | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2013-04-30 |
| 1548589500 | Justin Clark Young | Occupational Therapist | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2010-05-28 |
| Street Address |
10834 S DOTY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639336399 | Dionna Lomax | Family Medicine | 10834 S Doty Ave, Chicago, IL 60628-3802 | 2008-05-20 |
| 1912386236 | Errin Manney | Family Medicine | 10834 S Doty Ave, Chicago, IL 60628-3802 | 2015-05-19 |
| 1588953186 | Dakisha Nicole Lewis | Obstetrics & Gynecology | 10834 S Doty Ave, Chicago, IL 60628-3802 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.