Individual
CHAE HAN - CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
731 S ILLINOIS ROUTE 21, SUITE 130, GURNEE, IL 60031-3813
(847) 566-3337
(847) 816-3166
Mailing address
731 S ILLINOIS ROUTE 21, SUITE 130, GURNEE, IL 60031-3813
(847) 566-3337
(847) 816-3166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096132
—
IL
01
—
04930281
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/17/2006
Last updated
08/07/2025
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