DR. ADAM C YOUNG (NPI# 1073769287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073769287 |
| Entity Type | Individual |
| Full Name | DR. ADAM C YOUNG |
| Credential | MD |
| Practice Address |
1653 W Congress Pkwy 739 Jelke Chicago IL 60612-3833 |
| Practice Telephone | 3129425000 |
| Practice Fax Number | 3129428858 |
| Mailing Telephone | 3129425000 |
| Mailing Fax Number | 3129428858 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036128855 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
036128855 | IL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036128855 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255739421 | Adam Young | Specialist/Technologist | 5056 Stansbury Dr, Solon, OH 44139-1231 | 2014-12-19 |
| 1073114997 | Adam Young | Chiropractor | 13220 Callum Dr Ste 2, Waverly, NE 68462-2562 | 2020-11-06 |
| 1972115673 | Adam Young | Physical Therapist | 48800 Romeo Plank Rd, Macomb, MI 48044-2159 | 2020-08-24 |
| 1407490766 | Adam Ikaika Young | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2019-10-30 |
| 1841855624 | Adam Young | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2019-05-07 |
| 1134610074 | Adam Young | Counselor | 316 E Main St, Piketon, OH 45661-8018 | 2018-05-26 |
| 1386152114 | Adam Young | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2018-01-15 |
| 1215393814 | Adam Young | Social Worker | 4200 Northside Pkwy Nw, Building One, Suite 200, Atlanta, GA 30327-3007 | 2016-01-12 |
| 1750787420 | Adam Young | Pharmacist | 315 S Manning Blvd, St. Peter's Hospital Pharmacy, Albany, NY 12208-1707 | 2014-11-07 |
| 1457775587 | Adam Young | Community/Behavioral Health | 6512 N Decatur Blvd Ste 130-114, Las Vegas, NV 89131-1046 | 2014-02-10 |
| Street Address |
1653 W CONGRESS PKWY 739 JELKE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1558986844 | Eric Polich | Emergency Medicine | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-11 |
| 1811511363 | Jessica Shiming Dai | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-01 |
| 1013530179 | Megan Karolyn Marshalla | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-05-24 |
| 1265053359 | Lauren Elaine Falk | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-30 |
| 1003437260 | Sonali Gupta | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-29 |
| 1265053631 | Amalia Namath | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-27 |
| 1164059325 | Colleen M Bray | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1225665425 | Sabina Irene Cashin | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1467089011 | Jelena Brdarski | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
| 1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
| 1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
| 1497753214 | James R Diesfeld | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2005-07-14 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1154777159 | Stellar Pain and Spine Specialists | Pain Medicine | 5215 N California Ave, Chicago, IL 60625-7014 | 2016-05-09 |
| 1629481940 | United Pain Consultants LLC | Pain Medicine | 6323 N Avondale Ave, Suite B-101, Chicago, IL 60631-1962 | 2014-06-04 |
| 1124327994 | Dearborn Medical Consultants, LLC | Pain Medicine | 712 N Dearborn St, Suite 200, Chicago, IL 60654-3818 | 2011-03-19 |
| 1659683373 | H & M Medical, Sc | Pain Medicine | 3633 W Fullerton Ave, Chicago, IL 60647-2344 | 2010-07-10 |
| 1063632917 | Professional Health Sport, Inc. | Pain Medicine | 6288 N Cicero Ave, Chicago, IL 60646-4918 | 2007-04-25 |
| 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.