Individual
AILEEN M CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6135 N KNOX AVE, CHICAGO, IL 60646-5027
(773) 756-5251
Mailing address
6135 N KNOX AVE, CHICAGO, IL 60646-5027
(773) 756-5251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1041618
—
363AS0400X
Surgical Physician Assistant
0110001433
VA
Other
Enumeration date
06/13/2025
Last updated
06/24/2025
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