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Individual

CAROL CHANG

Active
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Individual

CAROL CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
125.075184
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO220210
OR

Other

Enumeration date
06/22/2019
Last updated
08/06/2024
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