Chang, Jason Victor

Chang, Jason Victor is an individual health care provider with primary practice located at 1701 E Woodfield Road Suite 1000, Schaumburg IL 60173-5113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Chang, Jason Victor can be contacted via phone (847) 240-2211.

Contact Information

Primary practice address
1701 E Woodfield Road Suite 1000 Schaumburg IL 60173-5113
Fax: (847) 240-2418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125-054734 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-127321 Illinois

Profile Details

NPI number 1124284708
LBN Legal business name Chang, Jason Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2008
Last updated Sep 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124284708 NPPES
Illinois Other 1633897 BCBS GROUP NUMBER

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