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Dr. Randy Chang, DDS
General Practice Dentistry in Waukegan, Illinois
NPI 1013913342

Randy Chang is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Randy Chang practices in Waukegan, IL and has the professional credentials of DDS. The NPI Number for Randy Chang is 1013913342 and holds a License No. 48587 (Illinois).

The current practice location address for Randy Chang is 916 N Green Bay Rd, Waukegan, IL and can be reached out via phone at 847-336-8200 and via fax at 847-336-8203.

Location: 916 N Green Bay Rd, Waukegan, IL, 60645-1833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013913342
Provider Name
Randy Chang
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
916 N Green Bay Rd, Waukegan, IL, 60645-1833
Phone Number
847-336-8200
Fax Number
847-336-8203
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73-1733714 01 FED TAX ID
019-025589 01 IL LICENSE #
DS7874 01 TN LICENSE #
48587 01 CA LICENSE #
institution
Provider Business Practice Location Address Details
Address
916 N Green Bay Rd
City
Waukegan
State
Illinois
Zip
60085-2240
Phone Number
847-336-8200
Fax Number
847-336-8203
person
Provider Business Mailing Address Details
Address
916 N Green Bay Rd
City
Waukegan
State
Illinois
Zip
60085-2240
Phone Number
847-336-8200
Fax Number
847-336-8203
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
48587 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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