Kassie Jean Young, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012380 Issued in IL

Practice address

2911 Crossing CT Suite 101
Champaign, IL 61822-6108

Phone

(217) 359-0550

Fax

(217) 359-0808

NPI assigned

Apr 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kassie Jean Rudow Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Young Chiropractic & Acupuncture, LTD.

  • Chiropractor
  • Champaign, IL
  • NPI 1891232153
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114260452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 CROSSING CT SUITE 101",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226108",
            "telephone_number": "217-359-0550",
            "fax_number": "217-359-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 CROSSING CT SUITE 101",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226108",
            "telephone_number": "217-359-0550",
            "fax_number": "217-359-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KASSIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012380",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIE",
            "last_name": "RUDOW",
            "middle_name": "JEAN",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Young, LSW
• Erik Young
• Ethan Young, RBT
• Jamie Catherine Young, M.S.
• Julie A Young, PA
• Kathryn Elisabeth Young, PA-C
• Michelle Lynn Young, DPT
• Sarah B Young, MD
• Steven W Young, PT, MSPT, CSCS
• William D. Youngerman, M.D.

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.