Doctor Name: | PAUL J CHANG |
NPI Number: | 1023080983 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD060680L |
Business Practice Address: | 5841 S Maryland Ave Mc2026, P210b Chicago, IL - 606371447 |
Business Phone Number: | 7737022456 |
Business Fax Number: | |
Mailing Address: | 1909 N Mohawk St, CHICAGO |
State: | IL |
Postal Code: | 606145219 |
Phone Number: | 3126424762 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD060680L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |