Individual
JEENSOO CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-7030
(312) 563-4212
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-7030
(312) 563-4212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.129144
IL
Other
Enumeration date
01/23/2012
Last updated
06/15/2012
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