| NPI | 1275663338 |
|---|---|
| Other Name | DR ROBERT W YOUNG |
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM YOUNG Oral And Maxillofacial Surgeon 309-693-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019015700) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001018) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |