STACI YOUNG, MD

Pediatrics

Active Individual
NPI: 1053406694

Practice Address

4804 S STATE ROUTE 159
Glen Carbon, IL 62034

Phone: (618) 288-9305

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 036113846 (IL)

Frequently Asked Questions

NPI 1053406694 is the National Provider Identifier for STACI YOUNG, MD, a Pediatrics provider located in Glen Carbon, IL. This NPI was enumerated on October 3, 2006.
STACI YOUNG, MD practices at 4804 S STATE ROUTE 159, Glen Carbon, IL 62034.

Quick Facts

NPI
1053406694
Type
Individual
Enumerated
Oct 3, 2006
Last Updated
Jun 29, 2020

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