Individual
BENEDICT CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5610 N MANGO AVE, CHICAGO, IL 60646-6306
(847) 532-4304
Mailing address
5610 N MANGO AVE, CHICAGO, IL 60646-6306
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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