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NPI Code Detail

MEDICARE: EMILY YOUNG APRN, CNP

MEDICARE: EMILY YOUNG APRN, CNP
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
1363L00000XNurse Practitioner209033333IL

General Provider Information

NPI Number : 1669266474
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY YOUNG APRN, CNP
Provider Business Mailing Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-695-4965
Fax Number : 312-695-5774
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-695-4965
Fax Number : 312-695-5774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2025
Last Update Date : 01/12/2026

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Directions to “ EMILY YOUNG APRN, CNP” Practice Location

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