ELIZABETH CHANG
NPI 1407504327
General Practice in Chicago, IL
About Elizabeth Chang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH CHANG (NPI 1407504327) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036.178094) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Chang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60608
CHICAGO, IL 60608
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 Elizabeth Chang's NPI number?
The NPI number for Elizabeth Chang is 1407504327. It was assigned to this individual provider in the NPPES registry on March 10, 2022.
Where is Elizabeth Chang located?
Elizabeth Chang practices at 1401 S California Ave, Chicago, IL 60608. The listed phone number is (773) 565-3074.
What is Elizabeth Chang's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Elizabeth Chang enrolled in Medicare?
Yes. Elizabeth Chang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Chang was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Elizabeth Chang · NPI 1407504327
General Practice physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 10, 2022.
## Identity
- **NPI:** 1407504327 (Entity type: Individual)
- **Enumerated:** March 10, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 036.178094 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 S CALIFORNIA AVE, Chicago, IL 60608-1858
- **Phone:** (773) 565-3074
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Illinois College Of Med, class of 2023
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407504327) · Data from the CMS NPPES public registry.