Dr. Tae'ni Chang-stroman
M.D. | Pediatrics | Male
Dr. Tae'ni Chang-stroman, M.D. is a Dyer, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Tae'ni Chang-stroman is
1160 Joliet St, Ste 103, Dyer, Indiana - 46311-1925. He can be contacted on phone at
219-322-8534 and fax number 219-865-9072.
Dr. Tae'ni Chang-stroman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Tae'ni Chang-stroman is
1902809601 which was assigned by NPPES on 27 May, 2005 and it was last updated on 30 Apr, 2015.
Dr. Tae'ni Chang-stroman license number is
01042969 for Pediatrics (208000000X) in Indiana.
Dr. Tae'ni Chang-stroman is a pediatrician who 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.
Complete Profile:
Dr. Tae'ni Chang-stroman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Tae'ni Chang-stroman |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Tae'ni Chang-stroman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1160 Joliet St, Ste 103
Dyer, IN, 46311-1925
United States |
|---|
| Phone Number : | 219-322-8534 |
|---|
| Fax Number : | 219-865-9072 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902809601 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 May, 2005 |
|---|
| Last Updated On : | 30 Apr, 2015 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tae'ni Chang-stroman are as mentioned. Primary taxonomy code for Dr. Tae'ni Chang-stroman, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01042969 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tae'ni Chang-stroman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000365599 | Other | IN | ANTHEM PROVIDER ID |
| 100463430B | MEDICAID | IN | |
| 32-0149967 | Other | | EIN |
| 10780906 | Other | | CAQH |
| 90001231 | Other | IL | BCBSIL PROVIDER ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1160 Joliet St, Ste 103
Dyer, IN, 46311-1925
United States |
|---|
| Phone Number : | 219-322-8534 |
|---|
| Fax Number : | 219-865-9072 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Tae'ni Chang-stroman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.