Active NPI
Kenneth Young Center
- Point of Service
- Elk Grove Village, IL
National Provider Identifier
1376895532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- KENNETH YOUNG CENTER
- Practice address
- 1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217 - Phone
- (847) 524-8800
- NPI assigned
- Oct 11, 2012
- 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
- Mr. M Bruski
- Title
- Ceo
- Phone
- (847) 524-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Mailing address
1001 Rohlwing
Elk Grove, IL 60007
Phone (847) 524-8800
Other names 1
- Kenneth Young Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349913600000",
"number": "1376895532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ROHLWING",
"city": "ELK GROVE",
"state": "IL",
"postal_code": "60007",
"telephone_number": "847-524-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 ROHLWING RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073217",
"telephone_number": "847-524-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH YOUNG CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A",
"authorized_official_last_name": "BRUSKI",
"authorized_official_first_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-524-8800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenneth Young Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.