Individual provider Active NPI

Allison Clark Young, APN

  • Pediatric Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1487023461
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
277002652 Issued in IL
Practice address
2418 W Division St
Chicago, IL 60622-2940
Phone
(312) 666-3494
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 277002652 IL Primary

Addresses

Primary practice location

2418 W Division St
Chicago, IL 60622-2940

Mailing address

2418 W Division St
Chicago, IL 60622-2940
Phone (312) 666-3494

Other practice location 1

600 W Fulton St
Chicago, IL 60661-1259
Phone (866) 882-2237

Other practice location 2

801 S Paulina St
Chicago, IL 60612-7210
Phone (312) 996-7532

Other names 1

  • Allison Clark Young Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111001188 IL Practitioner - Nurse Practitioner 5496065088 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277002652ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Erie Family Health Center Inc CurrentSince Jan 7, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2022 Accepting new patients
Erie Family Health Center Inc CurrentSince Jan 7, 2019 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Aug 1, 2022 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Access Community Health Network CurrentSince Nov 9, 2015 Accepting new patients
Access Community Health Network CurrentSince Nov 9, 2015 Accepting new patients

Locations

600 W Fulton St
Chicago, IL 60661
Phone (312) 526-2100

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

1504 S Albany Ave
Chicago, IL 60623

801 S Paulina St
#621
Chicago, IL 60612
Phone (312) 355-1661

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

801 S Paulina St
Rm 42
Chicago, IL 60612
Phone (312) 996-6519

2418 W Division St
Chicago, IL 60622
Phone (312) 432-2621

2701 W 68th St
#3S
Chicago, IL 60629
Phone (773) 434-4040

801 S Paulina St
Chicago, IL 60612
Phone (312) 996-1052

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

Interoperability endpoints

  • Direct secure messaging: aclarkyoung368404@direct.ochin.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1487023461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222940",
            "telephone_number": "312-666-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222940",
            "telephone_number": "312-666-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606611259",
            "country_code": "US",
            "telephone_number": "866-882-2237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Paulina St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127210",
            "country_code": "US",
            "telephone_number": "312-996-7532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK YOUNG",
        "first_name": "ALLISON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "277002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "CLARK YOUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.