Individual
ALEXANDER CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6710
Mailing address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125068091
IL
Other
Enumeration date
05/12/2016
Last updated
09/21/2023
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