Organization
MARK K CHANG MD
Active
Other names
Midwest SpineCare, SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK K. CHANG MD (MEDICAL DIRECTOR)
(219) 836-4955
Entity
Organization
Contact information
Practice address
1100 JOLIET ST, STE 104, DYER, IN 46311-1996
(219) 836-4955
(219) 865-2377
Mailing address
1100 JOLIET ST, STE 104, DYER, IN 46311-1996
(219) 836-4955
(219) 865-2377
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036095817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200868870A
—
IN
01
—
DG1633
RR MEDICARE
IL
Enumeration date
05/15/2007
Last updated
01/13/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up