SUKYONG CHANG D.D.S.
NPI 1053316752
Dentist - General Practice in Chicago, IL

Q: What is Sukyong Chang's NPI number?

The NPI number for Sukyong Chang is 1053316752. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Sukyong Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sukyong Chang was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2005

4801 W PETERSON AVE STE 309, CHICAGO, IL 60646(773) 777-8686(773) 777-8688 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sukyong Chang D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUKYONG CHANG D.D.S. (NPI 1053316752) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019-026331) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1053316752

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSUKYONG CHANGCredential: D.D.S.

Location Address4801 W PETERSON AVE STE 309Chicago, IL 60646-5726

Mailing Address4801 W Peterson Ave Ste 309Chicago, IL 60646-5726 · (773) 777-8686 · Fax (773) 777-8688

Phone(773) 777-8686

Fax(773) 777-8688

Sole ProprietorNo

Enumeration DateJune 17, 2005

Last NPPES UpdateOctober 7, 2025

NPPES CertifiedOctober 7, 2025

✔ NPI 1053316752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019-026331

Definition

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.

4801 W PETERSON AVE STE 309, Chicago, IL 60646

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sukyong Chang's NPI number?

The NPI number for Sukyong Chang is 1053316752. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Sukyong Chang located?

Sukyong Chang practices at 4801 W Peterson Ave Ste 309, Chicago, IL 60646. The listed phone number is (773) 777-8686.

What is Sukyong Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sukyong Chang accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 2 other insurers list Sukyong Chang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sukyong Chang was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.