MEDICARE: DR. BRIANA N YOUNG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01067699A	IN
2	207P00000X	Emergency Medicine Physician	036.124743	IL
3	207P00000X	Emergency Medicine Physician	35C.003040	OH
4	207P00000X	Emergency Medicine Physician	72493	WI

General Provider Information

NPI Number	:	1750532065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIANA N YOUNG MD

Provider Business Mailing Address
First Line	:	PO BOX 786
Second Line	:
City	:	FLOSSMOOR
State	:	IL
Zip	:	60422-0786
Country	:	US
Telephone Number	:	312-206-1064
Fax Number	:	708-991-2630

Provider Business Practice Location Address
First Line	:	30 E 15TH ST
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-3459
Country	:	US
Telephone Number	:	312-206-1064
Fax Number	:	708-991-2630

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	01/05/2026

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