Whalio Doctors

NPI 1053579912

Mark K Chang MD

Organisation Orthopaedic Surgery of the Spine Physician Dyer, IN

Practice location

Address
1100 Joliet St Suite 104, Dyer, IN 46311-1996
Phone
(219) 836-4955

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
1053579912
Entity type
Organization
NPI issued
28 May 2008
Record last updated
12 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.