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STACI R YOUNG MD PC
NPI 1972675106
Pediatrics in Edwardsville, IL

Active since November 14, 2006
3 SUNSET HILLS PROFESSIONAL CTR STE D, EDWARDSVILLE, IL 62025(618) 655-0015(618) 655-0016 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci R Young Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI R YOUNG MD PC (NPI 1972675106) is a healthcare organization registered as a pediatrics in Edwardsville, Illinois and active in the NPI registry since November 2006. The organization lists Staci R Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1972675106
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTACI R YOUNG MD PC
Location Address3 SUNSET HILLS PROFESSIONAL CTR STE DEdwardsville, IL 62025-3760
Mailing AddressPo Box 621Edwardsville, IL 62025-0621 · (618) 692-9640 · Fax (618) 692-9643
Phone(618) 655-0015
Fax(618) 655-0016
Organization SubpartNo
Authorized OfficialStaci R YoungOwner · (618) 655-0015
Enumeration DateNovember 14, 2006
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1972675106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3 SUNSET HILLS PROFESSIONAL CTR STE D, Edwardsville, IL 62025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci R Young MD PC's NPI number?

The NPI number for Staci R Young MD PC is 1972675106. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Staci R Young MD PC located?

Staci R Young MD PC is located at 3 Sunset Hills Professional Ctr Ste D, Edwardsville, IL 62025. The listed phone number is (618) 655-0015.

What is Staci R Young MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Staci R Young MD PC was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.