Radhika Chang, MD
Family Medicine in Carbondale, IL. Individual provider (NPI-1).
NPI number1982272183
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1982272183
- Entity type
- Individual (NPI-1)
- Name
- Radhika Chang
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036.171394 | IL | Yes |
Practice location
300 W Oak St Ste 200Carbondale, IL 62901-1400
Phone 618-536-6621 · Fax 618-453-1102
Mailing address
201 E Madison St Ste 328Springfield, IL 62702-5131
Phone 217-545-8000
Other practice locations
2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
West Frankfort, IL 62896-4174
Phone 618-932-3937 · Fax 618-932-2734
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