JENNIFER CHANG (NPI# 1669888558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669888558 |
| Entity Type | Individual |
| Full Name | JENNIFER CHANG |
| Credential | PA-C |
| Practice Address |
1710 N Randall Rd Suite #160 Elgin IL 60123-9400 |
| Mailing Address |
25 N Winfield Rd Ste 507 Winfield IL 60190-1222 |
| Practice Telephone | 8477811790 |
| Mailing Telephone | 8477811790 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085005061 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679056022 | Jennifer Chang | Dentist | 7500 Cambridge St Ste 6486, Houston, TX 77054-2032 | 2018-09-12 |
| 1750861506 | Jennifer Chang | Student in an Organized Health Care Education/Training Program | 18518 Heather Ave, Cerritos, CA 90703-6342 | 2018-08-20 |
| 1457769689 | Jennifer Chang | Pharmacist | 8416 Lee Hwy, Fairfax, VA 22031-1503 | 2014-07-31 |
| 1346535044 | Jennifer Shih-yi Chang | Student in an Organized Health Care Education/Training Program | 1600 Divisadero Street, Suite H1031, San Francisco, CA 94143-1708 | 2011-06-10 |
| 1598090441 | Jennifer T Chang | Internal Medicine | 513 Parnassus Ave # 357, San Francisco, CA 94143-0538 | 2009-10-09 |
| 1669602850 | Jennifer Chang | Radiology | 55 Fruit St # 2-216, Mgh Radiology, Boston, MA 02114-2621 | 2009-07-22 |
| 1417007147 | Jennifer E. Chang | Counselor | 8311 Beacon Ave S, Seattle, WA 98118-4323 | 2007-01-12 |
| 1841375227 | Jennifer Y Chang | Optometrist | 2200 Eastridge Loop, Ste 1078, San Jose, CA 95122-1410 | 2006-10-26 |
| 1952913576 | Jennifer Chang | Speech-Language Pathologist | 1101 S Winchester Blvd Ste B110, San Jose, CA 95128-3914 | 2020-08-17 |
| 1275177156 | Jennifer Chang | Social Worker | 21000 Education Ct, Broadlands, VA 20148-5526 | 2019-11-04 |
| Street Address |
1710 N RANDALL RD SUITE #160 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398218 | Gulzar Fidai | Internal Medicine | 1710 N Randall Rd, 380, Elgin, IL 60123-4902 | 2005-06-30 |
| 1992285613 | Chul Jong David Kim | Physical Therapist | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2018-08-21 |
| 1992234306 | Lorin Gene Brody | Nurse Practitioner | 1710 N Randall Rd, 160, Elgin, IL 60123 | 2017-06-08 |
| 1275075061 | Specialists In Gastroenterology | Nurse Practitioner | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2016-11-09 |
| 1821549064 | Amanda Robinson | Physician Assistant | 1710 N Randall Rd, 160, Elgin, IL 60123-9400 | 2016-10-24 |
| 1710330154 | Jordan Altieri | Physical Therapy Assistant | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-07-21 |
| 1902263486 | Lisa Gallagher | Counselor | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-01-28 |
| 1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
| 1760829667 | Kazmer Foot and Ankle Centers, Ltd | Podiatrist | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-31 |
| 1225473952 | Orthopedic & Spine Surgery Assoc Ltd | Durable Medical Equipment & Medical Supplies | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730696469 | Steven Michael Perri | Physician Assistant | 431 Summit St Ste 101, Elgin, IL 60120-3861 | 2018-01-03 |
| 1184136293 | Colleen Friedlein | Physician Assistant | 370 Summit St Ste 1a, Elgin, IL 60120-3843 | 2017-10-30 |
| 1306389911 | Jason Sarkey | Physician Assistant | 860 Summit St Ste 123, Elgin, IL 60120-4350 | 2016-11-30 |
| 1265701940 | Jason Matthias Henning | Physician Assistant | 101 F St, Elgin, OK 73538-9160 | 2011-12-24 |
| 1669788162 | Kathleen Sofen Guerra | Physician Assistant | 1750 N Randall Rd Ste 120, Elgin, IL 60123-7900 | 2010-08-23 |
| 1033442975 | Jonathan Philip Dollison | Physician Assistant | 218 W Us Highway 290, Elgin, TX 78621-3265 | 2009-09-10 |
| 1306083985 | Ashley Jansen | Physician Assistant | 1750 N. Randall Road, Suite #120, Elgin, IL 60123 | 2009-01-19 |
| 1942423645 | Diana Rhea Reese | Physician Assistant | 750 Fletcher Dr Ste 204, Elgin, IL 60123-4703 | 2007-04-11 |
| 1033233150 | Nancy L Mcpherson | Physician Assistant | 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 | 2007-03-16 |
| 1003956640 | Lindsay J Mccracken | Physician Assistant | 373 Summit St Ste 104, Elgin, IL 60120-3748 | 2007-02-06 |
| Find all providers in ELGIN | ||||
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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.