MEDICARE: LORI YOUNG, PLLC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1093422941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORI YOUNG, PLLC

Provider Business Mailing Address
First Line	:	2832 N VERMILION ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-1473
Country	:	US
Telephone Number	:	217-494-1105
Fax Number	:

Provider Business Practice Location Address
First Line	:	2832 N VERMILION ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-1473
Country	:	US
Telephone Number	:	217-494-1105
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LORI YOUNG
Credential	:
Telephone Number	:	217-251-9675

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	06/07/2026

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