Provider Demographics
NPI:1689682304
Name:KIANG, CHUANG SHIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUANG
Middle Name:SHIAN
Last Name:KIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2000 SPRING RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1804
Mailing Address - Country:US
Mailing Address - Phone:630-472-8800
Mailing Address - Fax:630-472-9502
Practice Address - Street 1:2800 W 95TH ST
Practice Address - Street 2:DEPT. OF PATHOLOGY
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2701
Practice Address - Country:US
Practice Address - Phone:708-229-5811
Practice Address - Fax:708-499-2337
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL58825Medicare PIN
ILC47832Medicare UPIN