Individual provider · Type 1 NPI

Taebee Chang

Surgical Physician Assistant · Evanston, IL

NPI number 1750767919 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1718

Call (847) 570-4224 Map

Mailing address

4 Wildwood Ct
Vernon Hills, IL 60061-1956

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085.005591 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1750767919

Taebee Chang's National Provider Identifier is 1750767919, issued on Aug 10, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Evanston, IL. The record was last updated on Aug 10, 2015.