SearchIllinois1041C0700X

Cody Young

NPI 1659639201 · on the registry since 2012 · sole proprietor

Practice

Address
3303 N Avers Ave
Chicago, IL 60618
Phone
(207) 712-2118

Additional practice sites

  • 10313 Sw 69th Ave, Tigard, OR

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois