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DEBRA E YOUNG DPM PC NPI 1528250867


NPI Information

NPI: 1528250867
Provider Name: DEBRA E YOUNG, DPM, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2752 N SOUTHPORT AVE
CHICAGO, IL
ZIP 60614
Phone: (773) 871-3338
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DEBRA E YOUNG, DPM, PC is a foot and ankle surgery podiatrist in Chicago, IL. DEBRA E YOUNG, DPM, PC NPI is 1528250867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2752 N SOUTHPORT AVE
CHICAGO, IL
ZIP 60614-230
Phone: (773) 871-3338

The provider's authorized official is Debra E Young .
The authorized official title is Physician and has the following contact phone number (773) 871-3338.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 9/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery016003073ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1253530AMEDICARE PININDIANA
2T37487MEDICARE UPINILLINOIS
3208638MEDICARE PINILLINOIS
41632183OTHERILLINOISBCBS
54791120001MEDICARE NSCILLINOIS
6K04956MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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