Individual
DR. TAE'NI CHANG-STROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01042969
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365599
ANTHEM PROVIDER ID
IN
05
—
100463430B
—
IN
01
—
10780906
CAQH
—
01
—
90001231
BCBSIL PROVIDER ID
IL
Enumeration date
05/27/2005
Last updated
04/30/2015
Update your record
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