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Active NPI 1013913342 Individual Practitioner Male Practitioner

Dr. Randy Chang , DDS

Dentist - General Practice • Waukegan, IL

Professional Overview & Biography Verified Profile Summary

Dr. Randy Chang, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waukegan, IL. Practice services are available at 916 N GREEN BAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

916 N Green Bay Rd

Waukegan, IL 600852240

Telephone 8473368200
Fax 8473368203
Associated Practice Facility / Clinic
🏢 Midwest Family Dental, Llc Facility NPI 1508268053

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waukegan, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Waukegan, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-025589

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 48587

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TN DS7874

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Fed Tax Id
73-1733714
Commercial Insurance / Payer ID License #
019-025589 (IL)
Commercial Insurance / Payer ID License #
DS7874 (TN)
Commercial Insurance / Payer ID License #
48587 (CA)

Secondary Practice Locations

2020 N California Ave Ste 5

Chicago, IL 606476320

Phone: 7737728001

2843 W Irving Park Rd

Chicago, IL 606183624

Phone: 7732678600

7300 N Western Ave, Ste J

Chicago, IL 606451833

Phone: 7733388433

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 916 N GREEN BAY RD, WAUKEGAN, IL 600852240 (Tel: 8473368200)

📍
Updated Business Mailing Address March 17, 2018

Registered at 7300 N WESTERN AVE, STE J, CHICAGO, IL 606451833 (Tel: (773) 338-8433)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as RANDY CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #48587 in CA)

NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2017

Registered at 916 N GREEN BAY RD, WAUKEGAN, IL 600852240 (Tel: 8473368200)

📍
Updated Business Mailing Address May 23, 2017

Registered at 7300 N WESTERN AVE, STE J, CHICAGO, IL 606451833 (Tel: (773) 338-8433)

👤
Provider Name / Credentials Updated May 23, 2017

Recorded as RANDY CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Dentist (License #019-025589 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7300 N WESTERN AVE, STE J, CHICAGO, IL 606451833 (Tel: 7733388433)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7300 N WESTERN AVE, STE J, CHICAGO, IL 606451833 (Tel: 7733388433)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDY CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS7874 in TN)

🟢
Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013913342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

7300 N Western Ave, Ste J

Chicago, IL 606451833

Phone: 7733388433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.