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TAE'NI CHANG-STROMAN M.D. P.C. NPI 1255487138


NPI Information

NPI: 1255487138
Provider Name: TAE'NI CHANG-STROMAN M.D., P.C.

Doing Business As: KIDS FIRST PEDIATRICS ON 30

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 15D1041395

Address:
1160 JOLIET ST
SUITE 103
DYER, IN
ZIP 46311
Phone: (219) 322-8534
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TAE'NI CHANG-STROMAN M.D., P.C. is a pediatrics in Dyer, IN. The provider is 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TAE'NI CHANG-STROMAN M.D., P.C. NPI is 1255487138. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kids First Pediatrics On 30.

The provider's business location address is:

1160 JOLIET ST
SUITE 103
DYER, IN
ZIP 46311-096
Phone: (219) 322-8534
Fax: (219) 865-9072

The provider's authorized official is Tae'ni Chang-stroman .
The authorized official title is President and has the following contact phone number (219) 322-8534.

The CLIA number assigned to this NPI record is 15D1041395 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 9/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics01042969INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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