Individual
JULIE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
3749 W 95TH ST, EVERGREEN PARK, IL 60805-2019
(708) 422-6569
Mailing address
PO BOX 489, MATTESON, IL 60443-0489
(708) 862-7674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
11/13/2018
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