Whalio Doctors

NPI 1003022476

Mark K Chang MD

Organisation Orthopaedic Surgery of the Spine Physician Dyer, IN

Practice location

Address
1100 Joliet St STE 104, Dyer, IN 46311-1996
Phone
(219) 836-4955
Fax
(219) 865-2377

Authorised official

Name
Mark K. Chang
Title
Medical Director
Phone
(219) 836-4955

Registered specialties

Orthopaedic Surgery of the Spine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence 036095817 (IL)

Registry record

NPI
1003022476
Entity type
Organization
NPI issued
15 May 2007
Record last updated
13 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.