DR. HARK CHANG M.D. NPI 1477666394

NPI Information

NPI: 1477666394
Provider Name: DR. HARK CHANG, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
2601 W MAIN ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 549-5361
Get Directions

DR. Hark Chang, M.D. is an urology in Carbondale, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Hark Chang, M.D. NPI is 1477666394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2601 W MAIN ST
CARBONDALE, IL
ZIP 62901-031
Phone: (618) 549-5361
Fax: (618) 549-5128

The enumeration date for this NPI number is 8/16/2006 and was last updated on 5/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		036110494	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	324123	OTHER	ILLINOIS	GHP
2	3932056	OTHER	ILLINOIS	BCBS OF IL.
3	B52021	MEDICARE UPIN	ILLINOIS
4	036110494	MEDICAID	ILLINOIS
5	088959	OTHER	ILLINOIS	HAMP INSURANCE NUMBER
6	K04830	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	INDIVIDUAL MEDICARE #
7	196221	OTHER	ILLINOIS	GHP INSURANCE NUMBER
8	614350	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP #
9	K45549	MEDICARE PIN	ILLINOIS
10	7210895	OTHER	ILLINOIS	AETNA
11	P00088940	OTHER	ILLINOIS	RR MEDICARE NUMBER
12	630411	OTHER	ILLINOIS	HEALTHLINK INSURANCE NUMB
13	214881	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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