Individual ProviderJaimie ChangSurgeryAllopathic & Osteopathic PhysiciansPractice Address600 S Paulina St, Chicago, IL 60612-3806(312) 942-7100(312) 942-5000PECOS EnrollmentBased on the most recent information from CMS, provider Jaimie Chang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1295485647Provider TypeIndividualFull NameChang, JaimieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/28/2022Last Updated6/29/2022Contact InformationPractice LocationPractice Address600 S Paulina St, Chicago, IL 60612-3806Phone(312) 942-7100FaxUnlisted FaxMailing LocationMailing Address600 S Paulina St, Chicago, IL 60612-3806Phone(312) 942-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125080198IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer