# DR. EILEEN CHANG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063529196
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036-107044 | IL | — |
| 207Q00000X | Family Medicine Physician | 4612 | AZ | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 4612 | AZ | — |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 03/18/2024