Organization
ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH YOON CHANG M.D. (PRESIDENT)
(219) 488-0165
Entity
Organization
Contact information
Practice address
10215 W. ROOSEVELT RD., SUITE 100, WESTCHESTER, IL 60154-7526
(708) 483-7007
(708) 562-0129
Mailing address
425 JOLIET STREET, SUITE 400, DYER, IN 46311-1768
(219) 488-0165
(219) 865-5401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
07/07/2014
Last updated
09/19/2019
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