| Dr Dongwoo John Chang, MD | |
|
305 W Jackson St Ste 400, Carbondale, IL 62901-1474 | |
| (618) 351-4972 | |
| (618) 351-4973 |
| Full Name | Dr Dongwoo John Chang |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 305 W Jackson St Ste 400, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962485037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036120333 (Illinois) | Primary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dongwoo John Chang, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 351-4972 | Dr Dongwoo John Chang, MD 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 Ph: (618) 351-4972 |
Dr. Gordon Kt Chu, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 | |
Eugenio Fortunato Vargas, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 | |
Mark Fleming, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Eric Hudgins, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 |