MEDICARE: JANE CHANG

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659216984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE CHANG

Provider Business Mailing Address
First Line	:	1669 VISTA DEL NORTE
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-4365
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6232 N PULASKI RD STE 400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5133
Country	:	US
Telephone Number	:	312-725-3093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ JANE CHANG ” Practice Location

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