Healthcare Provider Details

I. General information

NPI: 1396795498
Provider Name (Legal Business Name): YOUNG H MOK P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 N WESTERN AVE #101
CHICAGO IL
60622-1797
US

IV. Provider business mailing address

1431 N WESTERN AVE #101
CHICAGO IL
60622-1797
US

V. Phone/Fax

Practice location:
  • Phone: 773-276-2272
  • Fax: 773-276-2399
Mailing address:
  • Phone: 773-276-2272
  • Fax: 773-276-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. YOUNG H MOK
Title or Position: PRESIDENT
Credential: MD
Phone: 773-276-2272