Individual
JAIMIE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-7100
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125080198
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
06/29/2022
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