DR. YOUNG C JOUGH (NPI# 1659433506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659433506 |
| Entity Type | Individual |
| Full Name | DR. YOUNG C JOUGH |
| Credential | MD |
| Practice Address |
2320 E 93rd St Physical Medicine Department Chicago IL 60617-3983 |
| Mailing Address |
415 E North Water St Unit # 904 Chicago IL 60611-5594 |
| Practice Telephone | 7739675221 |
| Practice Fax Number | 7739675972 |
| Mailing Telephone | 3128320115 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 283X00000X | Rehabilitation Hospital | Hospitals | ||
| X | 282N00000X | General Acute Care Hospital | IL | Hospitals |
| Street Address |
2320 E 93RD ST PHYSICAL MEDICINE DEPARTMENT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545937 | Ken R Richards | Specialist | 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 | 2005-08-19 |
| 1972151512 | Lauren Jennifer Wishne | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-27 |
| 1932755105 | Erin Hill | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-14 |
| 1154980001 | Nathan Duane Warner | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-06-12 |
| 1740749779 | Alec Saadi Colson | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-03-19 |
| 1710452065 | Sherryl Felice Smith-colbert | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1497220743 | Kenisha Daniels | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1396229019 | Amy Elizabeth Spreitzer | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-09-18 |
| 1770072340 | Shawndra L Ferrell | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-05-08 |
| 1396258513 | Rosie L. Bernard | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356877567 | Michelle Wirth | Rehabilitation Hospital | 355 E Erie, Shirley Ryan Ability Lab, Chicago, IL 60611-2654 | 2017-05-08 |
| 1912119041 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 345 E Superior Street, 7th Floor, Chicago, IL 60611 | 2007-05-03 |
| 1649302332 | Carolyn Roberta Heron | Rehabilitation Hospital | 1255 W Westgate Ter, Chicago, IL 60607-3306 | 2007-03-09 |
| 1902953078 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 325 East Superior Street, Chicago, IL 60611 | 2007-01-04 |
| 1689749731 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 345 E Superior St Ste 1561, Chicago, IL 60611-2654 | 2006-11-22 |
| 1023006566 | Schwab Rehabilitation Hospital and Care Network | Rehabilitation Hospital | 3663 Paysphere Cir, Chicago, IL 60674-0036 | 2005-10-10 |
| 1629523568 | Kerry Sullivan | Rehabilitation Hospital | 1401 S California Ave, Chicago, IL 60608-1858 | 2016-08-21 |
| 1295186484 | Jessica Palkert | Rehabilitation Hospital | 345 E Superior St, Chicago, IL 60611-2654 | 2016-06-29 |
| 1093175945 | Weena Dee | Rehabilitation Hospital | 345 E Superior St, Chicago, IL 60611-2654 | 2016-03-03 |
| 1851765804 | Advanced Pain & Back Institute, Inc. | Rehabilitation Hospital | 5425 W Belmont Ave, Chicago, IL 60641-4127 | 2015-11-13 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. YOUNG C JOUGH.
| 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.