National Provider Identifier Database

YOUNG JOUGH MD PC
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

YOUNG JOUGH, M.D., P.C.
2320 E 93RD ST
CHICAGO, IL60617-3983
Phone: 773-967-5221
Fax: 773-967-5972
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for YOUNG JOUGH, M.D., P.C.

NPI Number 1144431545
Legal business name
LBN
YOUNG JOUGH, M.D., P.C.
Authorized official YOUNG JOUGH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/25/2007
Last updated 08/27/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 036051666
  • IL Medicaid: 036051666
  • IL Other: 0002201149 BLUE SHIELD

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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