MIDWEST SPINECARE
NPI 1053579912
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dyer, IN

Active since May 28, 2008
1100 JOLIET ST, SUITE 104, DYER, IN 46311(219) 836-4955 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midwest Spinecare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST SPINECARE (NPI 1053579912) is a healthcare organization registered as an orthopaedic surgery of the spine in Dyer, Indiana and active in the NPI registry since May 2008. The organization lists Mark K Chang, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053579912
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameMARK K CHANG MD
Location Address1100 JOLIET ST, SUITE 104Dyer, IN 46311-1996
Mailing Address1100 Joliet St, Suite 104Dyer, IN 46311-1996 · (219) 836-4955
Organization SubpartNo
Authorized OfficialMark K ChangMedical Director · (219) 836-4955
Enumeration DateMay 28, 2008
Last NPPES UpdateJanuary 12, 2015
NPI 1053579912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in IL · 036095817
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1100 JOLIET ST, Dyer, IN 46311

Other Names 1

Doing Business AsMidwest Spinecare

Other Identifiers 6

Other5930340001IL · Rr Medicare
Medicaid03609507IL
Medicare PIN215218IL
Medicare NSC5930340001IL
Medicare UPING45938
Medicare OSCAR/certificationIN2023IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1100 JOLIET ST, STE 104
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, SUITE 205
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, 105
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, SUITE 105
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, SUITE 105
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, SUITE 205
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, SUITE 205
DYER, IN 46311
Physical Therapist
1100 JOLIET ST, STE 105
DYER, IN 46311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark K Chang MD's NPI number?

The NPI number for Mark K Chang MD is 1053579912. It was assigned to this organization in the NPPES registry on May 28, 2008. The provider is doing business as Midwest Spinecare.

Where is Mark K Chang MD located?

Mark K Chang MD is located at 1100 Joliet St Suite 104, Dyer, IN 46311. The listed phone number is (219) 836-4955.

What is Mark K Chang MD's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Mark K Chang MD was last updated on January 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.