Active NPI
Sharon Youngren
- Other Technician
- Elburn, IL
National Provider Identifier
1477098721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 043.057344
- Practice address
- 1190 Independence Ave
Elburn, IL 60119-7833 - Phone
- (630) 643-1959
- NPI assigned
- Dec 22, 2016
- Last updated
- Dec 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 043.057344 | IL | Primary |
Addresses
Primary practice location
1190 Independence Ave
Elburn, IL 60119-7833
Mailing address
888 S Edgelawn Dr
Aurora, IL 60506-5283
Phone (630) 892-3240
Other names 1
- Sharon Lee Youngren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043.057344 | IL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1477098721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 S EDGELAWN DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605065283",
"telephone_number": "630-892-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 INDEPENDENCE AVE",
"city": "ELBURN",
"state": "IL",
"postal_code": "601197833",
"telephone_number": "630-643-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGREN",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-22",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "IL",
"license": "043.057344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "YOUNGREN",
"middle_name": "LEE",
"credential": "L.P.N",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Elburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.