NPI 1013913342

Randy Chang, DDS

Practitioner General Practice Dentistry Waukegan, IL

Practice location

Address: 916 N Green Bay Rd, Waukegan, IL 60085-2240
Phone: (847) 336-8200
Fax: (847) 336-8203
Mailing address: 7300 N Western Ave STE J, Chicago, IL 60645-1833

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019-025589 (IL)

Other Dentist providers in Illinois →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 48587 (CA)

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DS7874 (TN)

Registry record

NPI: 1013913342
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2005
Record last updated: 7 Mar 2023

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.