LISA YOUNG (NPI# 1801979000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801979000 |
| Entity Type | Individual |
| Full Name | LISA YOUNG |
| Practice Address |
11 E 75th St Chicago IL 60619-1601 |
| Mailing Address |
161 Washington St Eight Tower Bridge, Suite 1400 Conshohocken PA 19428-2083 |
| Practice Telephone | 8668253227 |
| Practice Fax Number | 4843513800 |
| Mailing Telephone | 8668253227 |
| Mailing Fax Number | 4843513800 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209-001713 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ANCC | 0325623-22 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194207951 | Lisa Young | Physical Therapist | 7727 Lake Underhill Rd # 345, Orlando, FL 32822-8224 | 2018-08-29 |
| 1487140182 | Lisa Paris Young | Specialist/Technologist | 415 T St, Port Townsend, WA 98368-3527 | 2018-07-05 |
| 1154736783 | Lisa Young | Social Worker | 408 E. Fourth Street, Suite 206, Bridgeport, PA 19405 | 2014-06-23 |
| 1972940047 | Lisa Young | Counselor | 12827 Holiday Ln, Bowie, MD 20716-1139 | 2013-05-30 |
| 1598037343 | Lisa Anne Young | Speech-Language Pathologist | 717 Trisha Ln, Norman, OK 73072-3718 | 2012-02-08 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1013241124 | Lisa Rae Young | Specialist | 102 N Blakely St, Dunmore, PA 18512-1961 | 2009-09-22 |
| 1629212188 | Lisa Marie Young | Registered Nurse | 15150 W Mondell Rd, Surprise, AZ 85374-3434 | 2009-04-28 |
| 1982867495 | Lisa S. Young | Home Health Aide | 433 Del Alto Ave Ne, Palm Bay, FL 32907-2086 | 2008-07-03 |
| 1275654196 | Lisa Young | Counselor | 6500 Boeing Dr, Suite L-150, El Paso, TX 79925-1009 | 2007-04-02 |
| Street Address |
11 E 75TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952318941 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11 E 75th St, Chicago, IL 60619-1601 | 2006-08-02 |
| 1073125845 | Aisosa Deborah Okpogie | Pharmacy | 11 E 75th St, Chicago, IL 60619-1601 | 2020-08-21 |
| 1265043038 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 11 E 75th St, Chicago, IL 60619-1601 | 2020-08-13 |
| 1508495060 | Briancca C Marshall | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2020-04-06 |
| 1588916555 | Nicole Alexander | Nurse Practitioner | 11 E 75th St, Chicago, IL 60619-1601 | 2012-10-15 |
| 1447529524 | Peggy Ann Riggins | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-20 |
| 1174891758 | Jennifer L Willis | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-09 |
| 1164790010 | Kimberly Catledge | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-07 |
| 1942577267 | Elicia Williams-collins | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-01 |
| 1417224361 | Brian L Hill | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.