NPI | 1255487138 |
---|---|
Doing Business As | KIDS FIRST PEDIATRICS ON 30 |
Entity Type | Organization |
Authorized Contact | TAE'NI CHANG-STROMAN President 219-322-8534 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01042969) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2011-09-14 |