Chang, Kwang Kyun

Chang, Kwang Kyun is an individual health care provider with primary practice located at 4710 W 95Th St Unit B10 , Oak Lawn IL 60453-2432. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Chang, Kwang Kyun can be contacted via phone (480) 570-3896.

Contact Information

Primary practice address
4710 W 95Th St Unit B10 Oak Lawn IL 60453-2432
Phone: (480) 570-3896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.030376 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 021002727 Illinois

Profile Details

NPI number 1669858098
LBN Legal business name Chang, Kwang Kyun
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2015
Last updated Mar 18th, 2020 - about 4 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.

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