NPI 1003390089

Julie Chang, MMSPAC

Practitioner Physician Assistant Evergreen Park, IL

Practice location

Address: 3749 W 95th St, Evergreen Park, IL 60805-2019
Phone: (708) 422-6569
Mailing address: PO Box 489, Matteson, IL 60443-0489

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003390089
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2018
Record last updated: 13 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.