NPIMap

Organization Active NPI

Young Esthetics

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1215337779
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.029678 Issued in IL
Legal business name
YOUNG ESTHETICS
Practice address
3142 W Cermak Rd
Chicago, IL 60623-3306
Phone
(773) 940-1967
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Young Shin
Title
General Dentist
Phone
(773) 940-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.029678 IL Primary

Addresses

Primary practice location

3142 W Cermak Rd
Chicago, IL 60623-3306

Mailing address

3142 W Cermak Rd
Chicago, IL 60623-3306

National Provider Directory

National Provider Directory
Tax ID family
Young Esthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1215337779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233306",
            "telephone_number": "773-940-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "773-940-1967",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.029678",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2014; 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.