| Kenneth Young Jr, | |
| 5841 S. Maryland Ave. Mc 5068, University Of Chicago Section Of Emergency Medicine, Chicago, IL 60637-9997 | |
| (773) 702-9500 | |
| Not Available | 
| Full Name | Kenneth Young Jr | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 5841 S. Maryland Ave. Mc 5068, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376957258 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.064708 (Illinois) | Primary | 
| Entity Name | Endeavor Health Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth Young Jr, 5841 S. Maryland Ave. Mc 5068, University Of Chicago Section Of Emergency Medicine, Chicago, IL 60637-9997 Ph: (773) 702-9500 | Kenneth Young Jr, 5841 S. Maryland Ave. Mc 5068, University Of Chicago Section Of Emergency Medicine, Chicago, IL 60637-9997 Ph: (773) 702-9500 | 
| Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
| Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
| Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
| Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
| Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
| Michael Anthony Hoks Jr.,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
| Akash Patel,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-7921 |