DR. RANDOLPH Y. CHANG (NPI# 1497781488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497781488 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH Y. CHANG |
| Credential | MD |
| Practice Address |
2740 W Foster Ave Suite 301 Chicago IL 60625-3500 |
| Mailing Address |
425 Joliet St. Suite 400 Dyer IN 46311 |
| Practice Telephone | 2192273622 |
| Practice Fax Number | 2198655401 |
| Mailing Telephone | 2198653819 |
| Mailing Fax Number | 2198655401 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036088768 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
036-088768 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036088768 | IL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01066493A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036088768 | 05 | |
| CAQH | 11528006 | 01 | |
| IN | 201003790 | 05 |
| Street Address |
2740 W FOSTER AVE SUITE 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926573 | Ashwin M Shah, Md, Sc | Surgery | 2740 W Foster Ave, Chicago, IL 60625-3500 | 2005-07-19 |
| 1194279463 | Kirschenbaum Dermatology LLC | Dermatology | 2740 W Foster Ave, Suite# 305, Chicago, IL 60625-3510 | 2016-08-04 |
| 1831544378 | Lutheran Social Services of Il | Counselor | 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 | 2016-05-03 |
| 1427422625 | Sahned Jaafar | Surgery | 2740 W Foster Ave, Ll7, Chicago, IL 60625 | 2015-11-25 |
| 1003289356 | Sofia Carleen Jimenez | Psychologist | 2740 W Foster Ave, Suite 412, Chicago, IL 60625-3500 | 2015-11-09 |
| 1174903512 | Independent Physicians' Aco of Chicago, LLC | Internal Medicine | 2740 W Foster Ave, Suite 116, Chicago, IL 60625-3500 | 2015-06-01 |
| 1205273190 | Hilary Bayley Brown | Social Worker | 2740 W Foster Ave, Ste 412, Chicago, IL 60625-3500 | 2013-05-31 |
| 1891067666 | Resurrection Services | General Practice | 2740 W Foster Ave, Suite 113, Chicago, IL 60625-3500 | 2012-02-08 |
| 1215223581 | Nina Patel | Internal Medicine | 2740 W Foster Ave, Ste 401, Chicago, IL 60625-3591 | 2011-06-24 |
| 1073819165 | Federer Surgical Services Ltd | Surgery | 2740 W Foster Ave, Suite 213, Chicago, IL 60625-3500 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
| 1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
| 1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
| 1497753214 | James R Diesfeld | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2005-07-14 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1154777159 | Stellar Pain and Spine Specialists | Pain Medicine | 5215 N California Ave, Chicago, IL 60625-7014 | 2016-05-09 |
| 1629481940 | United Pain Consultants LLC | Pain Medicine | 6323 N Avondale Ave, Suite B-101, Chicago, IL 60631-1962 | 2014-06-04 |
| 1124327994 | Dearborn Medical Consultants, LLC | Pain Medicine | 712 N Dearborn St, Suite 200, Chicago, IL 60654-3818 | 2011-03-19 |
| 1659683373 | H & M Medical, Sc | Pain Medicine | 3633 W Fullerton Ave, Chicago, IL 60647-2344 | 2010-07-10 |
| 1063632917 | Professional Health Sport, Inc. | Pain Medicine | 6288 N Cicero Ave, Chicago, IL 60646-4918 | 2007-04-25 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.