Randy Chang, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Waukegan, IL
- NPI
- 1013913342
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019-025589 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-22
- Last updated
- 2023-03-07
Practice location
916 N Green Bay Rd
Waukegan, IL 60085-2240
(847) 336-8200