Individual
FEN YU CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 W PETERSON AVE, CHICAGO, IL 60659-5242
(773) 508-9800
Mailing address
2320 W PETERSON AVE, CHICAGO, IL 60659-5242
(773) 508-9800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016351
IL
Other
Enumeration date
10/31/2009
Last updated
11/19/2011
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