Yong Suk Chang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

IL 019-023530 Issued in IL

Practice address

712 Front St
Easy Dental Care LLC
McHenry, IL 60050-5530

Phone

(815) 363-1577

Fax

(815) 363-1677

NPI assigned

Sep 30, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Smile Dental Care, LLC

  • Dental Clinic/Center
  • South Barrington, IL
  • NPI 1336903442
  NPD Authorized official
• Easy Dental Care LLC

  • Dentist
  • McHenry, IL
  • NPI 1245481977
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1568613297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FRONT ST",
            "address_2": "EASY DENTAL CARE LLC",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505530",
            "telephone_number": "815-363-1577",
            "fax_number": "815-363-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FRONT ST",
            "address_2": "EASY DENTAL CARE LLC",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505530",
            "telephone_number": "815-363-1577",
            "fax_number": "815-363-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YONG",
        "middle_name": "SUK",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "IL 019-023530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Therapeutic Services & Psychodiagnostics
• James Cerbes
• Juli Chaffee, MSW LSW
• Meghan Lee Chamberlain
• Christopher Kar Hoi Chan, MD
• Julie Charalambous
• Starr Alexia Chase, M.S.
• Aashutosh Chaudhary
• Juan Armando Chavez Duarte, APRN, CNP
• Jennifer Marie Chavez

• Dentist in McHenry, IL
• Providers in McHenry, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.