MEDICARE: DANIEL 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	207R00000X	Internal Medicine Physician	E-5498	AR
2	207RI0200X	Infectious Disease Physician	E-5498	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265656425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL YOUNG MD

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-338-3781
Fax Number	:	479-338-3782

Provider Business Practice Location Address
First Line	:	2708 S RIFE MEDICAL LN STE T20
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-1469
Country	:	US
Telephone Number	:	479-338-3781
Fax Number	:	479-338-3782

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	03/13/2026

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Directions to “ DANIEL YOUNG MD” Practice Location

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