| Mr James E Young Iii, NURSE PRACTITIONER | |
|
20280 Governors Hwy Ste 106, Olympia Fields, IL 60461-1068 | |
| (708) 729-9006 | |
| (708) 540-2448 |
| Full Name | Mr James E Young Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 20280 Governors Hwy Ste 106, Olympia Fields, 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 20280 Governors Hwy Ste 106, Olympia Fields, IL 60461-1068 Ph: (708) 729-9006 |
Nancy Tapia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2555 Lincoln Hwy Ste 200, Olympia Fields, IL 60461 Phone: 708-996-4000 | |
Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Lincoln Hwy Ste 205, Olympia Fields, IL 60461 Phone: 708-677-8337 | |
Nicole Bindl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-852-2641 Fax: 708-503-3260 | |
Rhonda Renae Pettaway Ansier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 W 203rd St Ste 110, Olympia Fields, IL 60461 Phone: 708-679-1890 | |
Ms. Tracy Loren Taylor, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2850 | |
Larina Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 301, Olympia Fields, IL 60461 Phone: 708-679-2850 Fax: 708-503-3816 | |
Megan Gac, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 Phone: 708-679-2518 Fax: 708-679-2519 |