MEDICARE: MS. NANCY A DEYOUNG APN

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	363LF0000X	Family Nurse Practitioner	209005816	IL

General Provider Information

NPI Number	:	1023222304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY A DEYOUNG APN

Provider Business Mailing Address
First Line	:	715 S DIXIE HWY
Second Line	:
City	:	BEECHER
State	:	IL
Zip	:	60401-3668
Country	:	US
Telephone Number	:	708-946-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 S DIXIE HWY
Second Line	:
City	:	BEECHER
State	:	IL
Zip	:	60401-3668
Country	:	US
Telephone Number	:	708-946-9330
Fax Number	:

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	04/04/2025

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