Peter Sung Jong Chang in Roselle - General Practice
Peter Sung Jong Chang - NPI 1053320606
Peter Sung Jong Chang is a General Practice in Roselle, Illinois. Peter Sung Jong Chang practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peter Sung Jong Chang is 1053320606. The last update date is 2008-09-24.
Peter Sung Jong Chang's current location address is 603 E Irving Park Rd, Roselle, Illinois. You can contact this provider via phone number 6308934200 and fax number 6308934508. The mailing address for Peter Sung Jong Chang is 603 E Irving Park Rd, Roselle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Sung Jong Chang |
|---|---|
| Address | 603 E Irving Park Rd, Roselle, Illinois |
| Phone Number | 6308934200 |
| Fax Number | 6308934508 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053320606 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2008-09-24 |
Provider Mailing Address Detail
| Address | 603 E Irving Park Rd |
|---|---|
| City | Roselle |
| State | Illinois (IL) |
| Post Code | 601722302 |
| Phone Number | 6308934200 |
| Fax Number | 6308934508 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19022395 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Peter Sung Jong Chang by the Centers for Medicare & Medicaid Services?
The Peter Sung Jong Chang has been assigned the NPI (National Provider Identifier) 1053320606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Peter Sung Jong Chang located?
The Peter Sung Jong Chang is located at 603 E Irving Park Rd, Roselle, IL 601722302.
What is Peter Sung Jong Chang's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter Sung Jong Chang is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053320606 to Peter Sung Jong Chang?
The Peter Sung Jong Chang received its 1053320606 assignment from the Centers for Medicare & Medicaid Services on 2006-08-05.
When was the information related to Peter Sung Jong Chang most recently updated or refreshed?
The details pertaining to the Peter Sung Jong Chang, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-24.
NPI Number: 1215930425
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