Active NPI
Young Jough, M.D., P.C.
- Rehabilitation Hospital
- Chicago, IL
National Provider Identifier
1144431545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 036051666
- Legal business name
- YOUNG JOUGH, M.D., P.C.
- Practice address
- 2320 E 93Rd St
Chicago, IL 60617-3983 - Phone
- (773) 967-5221
- Fax
- (773) 967-5972
- NPI assigned
- May 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Young Jough, M.D.
- Title
- President
- Phone
- (773) 967-5221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 036051666 | IL | |
| Rehabilitation Hospital | 283X00000X | 036051666 | IL | Primary |
Addresses
Primary practice location
2320 E 93Rd St
Chicago, IL 60617-3983
Mailing address
PO Box 388320
Chicago, IL 60638-8320
Phone (773) 767-8283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002201149 | Other | IL | BLUE SHIELD |
| 036051666 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1144431545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606388320",
"telephone_number": "773-767-8283",
"fax_number": "773-767-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 E 93RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606173983",
"telephone_number": "773-967-5221",
"fax_number": "773-967-5972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG JOUGH, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "JOUGH",
"authorized_official_first_name": "YOUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-967-5221",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "036051666",
"primary": false
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "IL",
"license": "036051666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0002201149",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036051666",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.