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Individual
MR. TITUS CHANG
Active
Individual
MR. TITUS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036-109430
IL
2080P0201X
Pediatric Allergy/Immunology Physician
49223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109430
—
IL
Enumeration date
06/08/2006
Last updated
01/05/2022
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