Individual
SHIH-WEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 S 90TH ST FL 3, WEST ALLIS, WI 53227-2455
(414) 328-8150
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
(815) 895-7555
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33943-20
WI
207RP1001X
Pulmonary Disease Physician
036063279
IL
207RP1001X
Pulmonary Disease Physician
Primary
33934-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629084579
—
WI
01
—
1932049
BLUE CROSS IL
IL
Enumeration date
07/31/2006
Last updated
12/23/2024
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