LEANN B YOUNG, PAC, Medical PEORIA, IL

Contact Information

LEANN B YOUNG, PAC

8600 N ROUTE 91
SUITE 130
PEORIA, IL 61615

Phone: 309-683-5059
Fax: 309-683-5446
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for LEANN B YOUNG · (Female)

NPI Number	`1104835768`
Status	Active
Credentials	PAC
Entity	Individual
Enumeration date	08/05/2006
Last updated	08/19/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	IL License # 085001383 IL Other 434110 MEDICARE GROUP IL Other 920006568 RAILROAD MEDICARE IL Other P00608470 RR MEDICARE GROUP MEMBER PTAN IL Other CA4079 RR MEDICARE GROUP PTAN
Hospital affiliation(s)	KEWANEE HOSPITAL - (Critical Access) 1051 WEST SOUTH STREET KEWANEE, IL 61443 SAINT FRANCIS MEDICAL CENTER - (Acute Care) 530 NE GLEN OAK AVE PEORIA, IL 61637

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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LEANN B YOUNG, PAC – NPI #1104835768Medical

Contact Information

Specialty

Medical

NPI Profile & details for LEANN B YOUNG · (Female)

Reviews for LEANN B YOUNG

LEANN B YOUNG, PAC – NPI #1104835768
Medical