Chang-Stroman, Tae'Ni

Chang-Stroman, Tae'Ni is an individual health care provider with primary practice located at 1160 Joliet St Ste 103, Dyer IN 46311-1925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chang-Stroman, Tae'Ni can be contacted via phone (219) 322-8534.

Contact Information

Primary practice address
1160 Joliet St Ste 103 Dyer IN 46311-1925
Phone: (219) 322-8534
Fax: (219) 865-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01042969 Indiana

Profile Details

NPI number 1902809601
LBN Legal business name Chang-Stroman, Tae'Ni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Apr 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902809601 NPPES
Illinois Other 90001231 BCBSIL PROVIDER ID
Illinois Other 000000365599 BCBSIL PROVIDER ID
Illinois MEDICAID 100463430B BCBSIL PROVIDER ID
Illinois Other 10780906 BCBSIL PROVIDER ID

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