IndividualActive
Alexander Chang
NPI 1104272707 · Emergency Medicine Physician · Peoria, IL
Provider details
- NPI number
- 1104272707
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125068091 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-6710
Approximate (ZIP-level) locationGet directions
Mailing address
2025 Morse Ave
Sacramento, CA 95825-2115
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2023-09-21
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.