Tae'Ni Chang-Stroman in Dyer - Pediatrics

Tae'Ni Chang-Stroman - NPI 1902809601

Tae'Ni Chang-Stroman is a Pediatrics in Dyer, Indiana. Tae'Ni Chang-Stroman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tae'Ni Chang-Stroman is 1902809601. The last update date is 2015-04-30.

Tae'Ni Chang-Stroman's current location address is 1160 Joliet St, Dyer, Indiana. You can contact this provider via phone number 2193228534 and fax number 2198659072. The mailing address for Tae'Ni Chang-Stroman is 1160 Joliet St, Dyer, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Tae'Ni Chang-Stroman
Address 1160 Joliet St, Dyer, Indiana
Phone Number 2193228534
Fax Number 2198659072
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1902809601
Provider Enumeration Date 2005-05-27
Last Updated Date 2015-04-30

Provider Mailing Address Detail

Address 1160 Joliet St
City Dyer
State Indiana (IN)
Post Code 4631119250
Phone Number 2193228534
Fax Number 2198659072

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 1042969
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
90001231 IL BCBSIL PROVIDER ID
365599 IN ANTHEM PROVIDER ID
100463430B IN --
10780906 CAQH

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FAQs about Tae'Ni Chang-Stroman

What is the unique 10-digit identification code assigned to Tae'Ni Chang-Stroman by the Centers for Medicare & Medicaid Services?

The Tae'Ni Chang-Stroman has been issued the NPI (National Provider Identifier) 1902809601, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tae'Ni Chang-Stroman is physically located?

The Tae'Ni Chang-Stroman is situated at the following address: 1160 Joliet St, Dyer, IN 4631119250.

What is the Tae'Ni Chang-Stroman's specialty and taxonomy code?

The Tae'Ni Chang-Stroman's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Tae'Ni Chang-Stroman receive the assignment of its 1902809601 from the Centers for Medicare & Medicaid Services?

The Tae'Ni Chang-Stroman was issued its 1902809601 by the Centers for Medicare & Medicaid Services on 2005-05-27.

When was the Tae'Ni Chang-Stroman's information last updated?

The Tae'Ni Chang-Stroman's information was last updated on 2015-04-30.

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