Individual
DR. CHRISTINE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2503 N HALSTED ST, CHICAGO, IL 60614-3522
(773) 404-2600
Mailing address
2503 N HALSTED ST, CHICAGO, IL 60614-3522
(773) 404-2600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020098
IL
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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