KENNETH YOUNG CENTER (NPI# 1386201465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386201465 |
| Entity Type | Organization |
| Organization Name | KENNETH YOUNG CENTER |
| Practice Address |
1001 Rohlwing Rd Elk Grove Village IL 60007-3217 |
| Practice Telephone | 8475248800 |
| Practice Fax Number | 6309122009 |
| Mailing Telephone | 8475248800 |
| Mailing Fax Number | 6309122009 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | CATHY-ANN ROMERO (SENIOR DIRECTOR OF TALENT & FACILIT) |
| Authorized Official Telephone | 8475248800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902358930 | Kenneth Young Center | Clinic/Center | 2418 E Hintz Rd, Arlington Heights, IL 60004-2268 | 2016-10-25 |
| 1932533841 | Kenneth Young Center | Clinic/Center | 1585 Dempster St, Myers Place Suite 113, Mount Prospect, IL 60056-4978 | 2013-08-27 |
| 1629083241 | Kenneth Young Center | Clinic/Center | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2006-07-30 |
| 1518364520 | Kenneth Young Center | Clinic/Center | 1585 Dempster St, Suite 110, Mount Prospect, IL 60056-4978 | 2014-11-20 |
| 1073925772 | Kenneth Young Center | Community/Behavioral Health | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2014-05-29 |
| 1376895532 | Kenneth Young Center | Point of Service | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2012-10-11 |
| 1174897292 | Kenneth Young Center | Clinic/Center | 1 Illinois Blvd, Suite 107, Hoffman Estates, IL 60169-3314 | 2012-03-07 |
| Street Address |
1001 ROHLWING RD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629083241 | Kenneth Young Center | Clinic/Center | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2006-07-30 |
| 1730788332 | Stefanie Darryl V Segovia | Social Worker | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-23 |
| 1609473024 | Ariell Sueing | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-08 |
| 1265039713 | Rashada C James | Prevention Professional | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
| 1699372193 | Louis N Chisanga | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
| 1942807482 | Taylor Frye | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
| 1083211668 | Anthony Jacob Piechocki | Social Worker | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-06 |
| 1215534912 | Tiffany Jean Michalak | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-06 |
| 1184221814 | Deisy Molina Cortes | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-06 |
| 1881291458 | Amber Weiss | Social Worker | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.