Mr James E Young Iii, NURSE PRACTITIONER | |
6700 167th St Ste 4, Tinley Park, IL 60477-2078 | |
(708) 640-6951 | |
Not Available |
Full Name | Mr James E Young Iii |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6700 167th St Ste 4, Tinley Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184303075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209027820 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
---|---|
Mr James E Young Iii, NURSE PRACTITIONER 6700 167th St Ste 4, Tinley Park, IL 60477-2078 Ph: () - | Mr James E Young Iii, NURSE PRACTITIONER 6700 167th St Ste 4, Tinley Park, IL 60477-2078 Ph: (708) 640-6951 |
John Raju, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7460 170th Pl, Tinley Park, IL 60477 Phone: 708-781-3500 | |
Wendy A Siegert, RN, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7003 Irene Courtyard, Tinley Park, IL 60477 Phone: 708-738-5073 | |
Kaley Albrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16650 Harlem Ave Ste 6, Tinley Park, IL 60477 Phone: 708-231-1384 | |
Marjorie Craig, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16650 Harlem Ave Ste 1, Tinley Park, IL 60477 Phone: 708-444-1512 | |
Jennifer Teruko Vermette, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8505 183rd St Ste A, Tinley Park, IL 60487 Phone: 815-824-4406 | |
Cynthia Ann Oneill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 Centennial Dr, Tinley Park, IL 60477 Phone: 708-429-3455 Fax: 708-429-3422 | |
Donna Boettge, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17859 80th Ave, Tinley Park, IL 60477 Phone: 888-938-3838 Fax: 888-919-1083 |