Elizabeth Dorothy Young

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.001759 Issued in IL

Practice address

1750 Madron Rd
Rockford, IL 61107-2459

Phone

(815) 229-2492

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1003329848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 SHATTUCK LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148194",
            "telephone_number": "815-298-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MADRON RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072459",
            "telephone_number": "815-229-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ELIZABETH",
        "middle_name": "DOROTHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.001759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Hyun Yoo
• Woosuk Steve Yoon, M.D.
• Diana Elizabeth Yost, MS ED, ATC
• Amy Lynn Young, FNP-BC
• Caleb A Young, MPT
• Melissa Noel Young, PSY.D.
• Stacie Michelle Young, LPC
• Uthman Mohammad Younis, MD
• Angie Youssef Hernandez, DPM
• Youth Service Bureau of Illinois Valley

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.