Chang, Peter Sung Jong

Chang, Peter Sung Jong is an individual health care provider with primary practice located at 603 E Irving Park Rd , Roselle IL 60172-2302. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chang, Peter Sung Jong can be contacted via phone (630) 893-4200.

Contact Information

Primary practice address
603 E Irving Park Rd Roselle IL 60172-2302
Phone: (630) 893-4200
Fax: (630) 893-4508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019022395 Illinois

Profile Details

NPI number 1053320606
LBN Legal business name Chang, Peter Sung Jong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Sep 24th, 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.

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