ROGER YOUNG

SALEM, IL
NPI1952399511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  041255812)
Enumeration Date2005-10-07
Last Update Date2013-10-16
Business Address
ROGER YOUNG NP
1250 W WHITTAKER ST
SALEM, IL 62881-1917
Phone number: 618-548-3740
Mailing Address
ROGER YOUNG NP
1250 W WHITTAKER ST
SALEM, IL 62881-1917
Phone number: 618-548-3740