Chang, Tiffani J

Chang, Tiffani J is an individual health care provider with primary practice located at 3860 W Ogden Ave , Chicago IL 60623-2460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chang, Tiffani J can be contacted via phone (872) 588-3000.

Contact Information

Primary practice address
3860 W Ogden Ave Chicago IL 60623-2460
Phone: (872) 588-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085008236 Illinois

Profile Details

NPI number 1700556784
LBN Legal business name Chang, Tiffani J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2021
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700556784 NPPES
Illinois Other 085008236 STATE LICENSE
Illinois Other C520-8109-4719 STATE LICENSE
Illinois Other 1176469 STATE LICENSE
Illinois Other 385006510 STATE LICENSE

Popular Providers