| Dr Nichole M Butler-moo Young, MD | |
|
7411 Lake St Ste 1120, River Forest, IL 60305-1882 | |
| (708) 763-2328 | |
| (708) 345-9984 |
| Full Name | Dr Nichole M Butler-moo Young |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 7411 Lake St Ste 1120, River Forest, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245222108 | NPI | - | NPPES |
| 036099421 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036099421 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Louis A Weiss Memorial Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resilience Healthcare - Lakefront Medical Associates Llc | 5991046468 | 38 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Resilience Healthcare - Lakefront Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205301926 PECOS PAC ID: 5991046468 Enrollment ID: O20190410000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nichole M Butler-moo Young, MD 7411 Lake St Ste 1120, River Forest, IL 60305-1882 Ph: (708) 763-2328 | Dr Nichole M Butler-moo Young, MD 7411 Lake St Ste 1120, River Forest, IL 60305-1882 Ph: (708) 763-2328 |
Elizabeth Robin Nye, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 345 Ashland Ave, River Forest, IL 60305 Phone: 312-670-2530 Fax: 312-670-2630 |