Chang, Hark

Chang, Hark is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chang, Hark can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 549-5128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036110494 Illinois

Profile Details

NPI number 1477666394
LBN Legal business name Chang, Hark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated May 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477666394 NPPES
Illinois MEDICAID 036110494
Illinois Other 630411
Illinois Other 7210895
Illinois Other 088959
Illinois Other P00088940
Illinois Other 3932056
Illinois Other 196221
Illinois Other 324123

Popular Providers