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
Phone: (847) 240-2211
Fax: (847) 240-2418
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124284708 | NPPES |
| Illinois | Other | 1633897 | BCBS GROUP NUMBER |
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