KEVIN WESLEY CHANG (NPI# 1770044174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770044174 |
| Entity Type | Individual |
| Full Name | KEVIN WESLEY CHANG |
| Practice Address |
2650 Ridge Ave Ste 1304 Evanston IL 60201-1700 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 8476663494 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 125.073753 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518359298 | Kevin Y Chang | Student in an Organized Health Care Education/Training Program | 401 East River Parkway, Vcrc 1st Floor, Suite 131, Minneapolis, MN 55455 | 2015-03-04 |
| 1396931457 | Kevin Carlo Chang | Internal Medicine | 6290 Central Blvd Apt 308, Whitestown, IN 46075-4405 | 2007-09-21 |
| 1265568950 | Kevin Chang | Dentist | 1212 Coloma Way Ste C, Roseville, CA 95661-4646 | 2007-02-26 |
| 1194326694 | Kevin Chang | Physical Therapist | 3520 W University Dr Ste 201, Mckinney, TX 75071-2930 | 2020-11-03 |
| 1861005662 | Kevin Chun Hui Chang | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2020-08-31 |
| 1265040489 | Kevin Chang | Pharmacist | 475 E Windmill Ln, Las Vegas, NV 89123-1808 | 2020-07-14 |
| 1649814682 | Kevin Chang | Physical Therapist | 2455 S Braeswood Blvd, Houston, TX 77030-4305 | 2019-11-02 |
| 1255859054 | Kevin Anthony Chang | Pharmacist | 10716 71st Ave, Forest Hills, NY 11375-4725 | 2017-09-01 |
| 1043744428 | Kevin Wei-lun Chang | Student in an Organized Health Care Education/Training Program | 22301 Foster Winter Dr, Southfield, MI 48075-3707 | 2017-04-12 |
| 1821448663 | Kevin Michael Chang | Emergency Medicine | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2016-06-13 |
| Street Address |
2650 RIDGE AVE STE 1304 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649535782 | John Warren Ebersole | Radiology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1718 | 2012-07-04 |
| 1750907648 | Ayshah Mahmud | Dentist | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-17 |
| 1831714740 | Corey Rollor | Dentist | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-16 |
| 1821613407 | Patrick Mulligan | Internal Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-06-10 |
| 1376166546 | Ann Kim | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-22 |
| 1396368759 | Tyler Williams | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-20 |
| 1679195259 | Sariya Ali Siddiqui | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-18 |
| 1508488438 | Mahnoor Asghar | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-14 |
| 1275155442 | Anu Pandit | Student in an Organized Health Care Education/Training Program | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-11 |
| 1992327209 | Robert Terry Toelke | Pathology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689207722 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Stop 100, Evanston, WY 82930-9352 | 2020-02-18 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
| 1194094086 | Zulfikar Esmail | Family Medicine | 1616 Forest Pl, Evanston, IL 60201-4663 | 2011-12-21 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| 1821280256 | Humera Khan | Family Medicine | 800 Austin St Ste 505, Evanston, IL 60202-3439 | 2007-08-09 |
| 1902934532 | Michael Kevin Rakotz | Family Medicine | 1704 Maple Ave, Suite 200, Evanston, IL 60201-3134 | 2007-03-02 |
| 1497819692 | Geeta Maker-clark | Family Medicine | 909 Davis St Ste 200, Evanston, IL 60201-3664 | 2006-12-21 |
| 1982779047 | Elena Fitchev | Family Medicine | 800 Austin St Ste 502w, Evanston, IL 60202-3445 | 2006-11-22 |
| 1063528255 | Carl Elmer Hill | Family Medicine | 841 Dodge Ave, Evanston, IL 60202 | 2006-08-22 |
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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.