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NPI Code Detail

MEDICARE: ROWLAND CHANG MD

MEDICARE: ROWLAND CHANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician036064404IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1250011905OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740243807
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROWLAND CHANG MD
Provider Business Mailing Address
First Line : 680 N LAKE SHORE DR
Second Line : SUITE 1000
City : CHICAGO
State : IL
Zip : 60611-4546
Country : US
Telephone Number : 312-238-2784
Fax Number : 312-238-5006
Provider Business Practice Location Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-1000
Fax Number : 312-238-5006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 04/22/2022

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Directions to “ ROWLAND CHANG MD” Practice Location

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