| Aalto Enhancement Center, S.c. | |
|
8503 75th St Suite A Kenosha WI 53142-7620 | |
| (262) 654-9370 | |
| (262) 654-9379 |
| Full Name | Aalto Enhancement Center, S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8503 75th St, Kenosha, Wisconsin |
| Authorized Official Name and Position | Kathryn A. Aalto (CEO, PRESIDENT) |
| Authorized Official Contact | 2626549370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aalto Enhancement Center, S.c. 8503 75th St Suite A Kenosha WI 53142-7620 Ph: (262) 654-9370 | Aalto Enhancement Center, S.c. 8503 75th St Suite A Kenosha WI 53142-7620 Ph: (262) 654-9370 |
| NPI Number | 1629155973 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/03/2013 |
| Medicare PECOS PAC ID | 0244139541 |
|---|---|
| Medicare Enrollment ID | O20040106000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629155973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1083 (Wisconsin) | Primary |
| Provider Name | Kathryn A Aalto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023193737 PECOS PAC ID: 0143129452 Enrollment ID: I20040107000226 |
| Provider Name | Steven Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821179136 PECOS PAC ID: 5294716510 Enrollment ID: I20040525000068 |
| Provider Name | Alyssa M Skalitzky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598906596 PECOS PAC ID: 9133270747 Enrollment ID: I20090622000402 |
| Provider Name | Angela A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093148165 PECOS PAC ID: 5193951853 Enrollment ID: I20131202001320 |
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