Individual
JAN D CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5150
(847) 723-2083
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1633
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301501709
MI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
036152595
IL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301501709
MI
Other
Enumeration date
03/30/2017
Last updated
09/09/2024
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