{"npi":"1164052734","type":"NPI-1","status":"active","name":{"display":"Mr. Justin Young PA-C","other":[],"first":"JUSTIN","last":"YOUNG","middle":"JOSEPH","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"PA","license":"OA005192"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"PA","license":"MA061396"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IL","license":"085009699"}]},"addresses":[{"purpose":"LOCATION","street_1":"675 N SAINT CLAIR ST FL 17","city":"CHICAGO","state":"IL","postal_code":"606115975","country_code":"US","phone":"3126953800","fax":"3126953644"},{"purpose":"MAILING","street_1":"675 N SAINT CLAIR ST FL 17","city":"CHICAGO","state":"IL","postal_code":"606115975","country_code":"US","phone":"3126953800","fax":"3126953644"}],"license":{"state":"IL","number":"085009699"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200331002425","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"8820427586"},{"enrlmt_id":"I20230721002015","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"8820427586"}]},"enumeration_date":"2020-01-22","last_updated":"2024-12-04","_meta":{"source":"NPPES","snapshot_date":"2024-12-04","doc_url":"https://findmynpi.com/api"}}