Midwest Spinecare

LBN: Mark K Chang Md
Midwest Spinecare is an health care organization with primary practice located at 1100 Joliet St Suite 104, Dyer IN 46311-1996. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty. Mark K Chang Md can be contacted via phone (219) 836-4955, or through Chang, Mark K via phone (219) 836-4955.

Contact Information

Primary practice address
1100 Joliet St Suite 104 Dyer IN 46311-1996
Phone: (219) 836-4955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chang, Mark K Doctor of Medicine (MD)
Phone: (219) 836-4955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036095817 Illinois

Profile Details

NPI number 1053579912
LBN Legal business name Mark K Chang Md
DBA Doing business as Midwest Spinecare
Authorized official Chang, Mark K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated Jan 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053579912 NPPES
Illinois MEDICAID 03609507
Illinois Other 5930340001

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