Individual provider Active NPI

Justin Tonchie Young, M.D.

  • Family Medicine Physician
  • Tracy, MN
National Provider Identifier
1043508492
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136652 Issued in IL
Practice address
249 5TH St E
Tracy, MN 56175-1536
Phone
(507) 629-8400
NPI assigned
Jul 19, 2011
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036136652 IL Primary

Addresses

Primary practice location

249 5TH St E
Tracy, MN 56175-1536

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Other practice location 2

10834 S Doty Ave
Chicago, IL 60628
Phone (312) 268-6630

Other practice location 3

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justin.young.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001914 IL Practitioner - Family Practice 5092026765 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-7421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036136652ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 1, 2021 Accepting new patients
Statera Health Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Lake Region Healthcare Corporation Current Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Sep 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 1, 2021 Accepting new patients
Freeport Regional Health Care Foundation Family Medicine CurrentSince Mar 15, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 22, 2015 Accepting new patients
Midwest Express Care 2, Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Sep 1, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jun 22, 2015 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

10834 S Doty Ave
Chicago, IL 60628
Phone (312) 268-6630

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

1520 N Damen Ave
Chicago, IL 60622
Phone (312) 278-5955

2868 N Broadway St
Chicago, IL 60657
Phone (773) 569-3525

29373 Network Pl
Chicago, IL 60673

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

1010 Fairway Dr
Freeport, IL 61032
Phone (815) 599-6340

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6290

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1190 S Naper Blvd
Naperville, IL 60540
Phone (312) 229-0345

600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

712 S Cascade St
Fergus Falls, MN 56537

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: justin.young.1@15486.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prairie View Senior LivingTracy, MN, CCN 245371 Skilled nursing facility W-2 Managing Employee May 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1043508492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 5TH ST E",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751536",
            "telephone_number": "507-629-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "fax_number": "815-599-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10834 S Doty Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60628",
            "country_code": "US",
            "telephone_number": "312-268-6630",
            "fax_number": "312-268-6628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JUSTIN",
        "middle_name": "TONCHIE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.young.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tracy, MN

Sources for this page

Verify at the official NPI Registry.