Individual
DR. HARK CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
(618) 549-5361
(618) 549-5128
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 549-5361
(618) 549-5128
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036110494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110494
—
IL
01
—
088959
HAMP INSURANCE NUMBER
IL
01
—
196221
GHP INSURANCE NUMBER
IL
01
—
324123
GHP
IL
01
—
3932056
BCBS OF IL.
IL
01
—
630411
HEALTHLINK INSURANCE NUMB
IL
01
—
7210895
AETNA
IL
01
—
P00088940
RR MEDICARE NUMBER
IL
Enumeration date
08/16/2006
Last updated
05/03/2008
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