| Dr Susanna Chang, MD | |
|
3001 Green Bay Rd, North Chicago, IL 60064-3048 | |
| (800) 393-0865 | |
| (224) 610-7568 |
| Full Name | Dr Susanna Chang |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3001 Green Bay Rd, North Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497792675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-112345 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Lawndale Christian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susanna Chang, MD 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (800) 393-0865 | Dr Susanna Chang, MD 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (800) 393-0865 |
Duke Geem, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 N Waukegan Rd Bldg Ap31-2, North Chicago, IL 60064 Phone: 847-937-3278 | |
Danilo Alesna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 14th St, North Chicago, IL 60064 Phone: 847-984-5200 | |
Dr. Jean Ok Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 847-578-3000 |