Staci R Young MD PC
Staci R Young MD PC is a Pediatrics Physician in Edwardsville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3 Sunset Hills Professional Ctr Ste DEdwardsville, IL 62025-3760
Phone: (618) 655-0015
Fax: (618) 655-0016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X (IL) |
|---|
Record details
| NPI number | 1972675106 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Staci Young — Owner · (618) 655-0015 |
| NPI enumerated | November 14, 2006 |
| Last updated in NPPES | February 4, 2008 |
| Mailing address | Po Box 621, Edwardsville, IL 62025-0621 |