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NPI Code Detail

MEDICARE: HEIDI CHANG PT, DPT

MEDICARE: HEIDI CHANG PT, DPT
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
1225100000XPhysical Therapist070027725IL

General Provider Information

NPI Number : 1487531778
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI CHANG PT, DPT
Provider Business Mailing Address
First Line : 2520 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2520 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5202
Country : US
Telephone Number : 224-273-6557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2025
Last Update Date : 08/19/2025

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Directions to “ HEIDI CHANG PT, DPT” Practice Location

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