Informe Healthcare Llc | |
2741 W Layton Ave. Suite 106 Milwaukee WI 53221 | |
(414) 242-5468 | |
Not Available |
Full Name | Informe Healthcare Llc |
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Speciality | Internal Medicine |
Location | 2741 W Layton Ave., Milwaukee, Wisconsin |
Authorized Official Name and Position | Jodi M Czernejewski (CEO) |
Authorized Official Contact | 4143125165 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Informe Healthcare Llc 2741 W Layton Ave. Suite 106 Milwaukee WI 53221 Ph: (414) 242-5468 | Informe Healthcare Llc 2741 W Layton Ave. Suite 106 Milwaukee WI 53221 Ph: (414) 242-5468 |
NPI Number | 1407343965 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 04/09/2021 |
Certification Date | 04/09/2021 |
Medicare PECOS PAC ID | 8123375474 |
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Medicare Enrollment ID | O20180723000258 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407343965 | NPI | - | NPPES |
Provider Name | David B Hardin |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1801836069 PECOS PAC ID: 9739093550 Enrollment ID: I20031117000408 |
Provider Name | Lisa Darlene Stults |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033181599 PECOS PAC ID: 4880628486 Enrollment ID: I20050922001140 |
Provider Name | Oranu Ibekie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134190713 PECOS PAC ID: 8921074311 Enrollment ID: I20051115000076 |
Provider Name | Anita L Flohe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497058580 PECOS PAC ID: 9931380235 Enrollment ID: I20110218001021 |
Provider Name | Mohamed O Jahangir |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073748422 PECOS PAC ID: 1456526813 Enrollment ID: I20130720000130 |
Provider Name | Asad Kizilbash |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861630907 PECOS PAC ID: 1254485535 Enrollment ID: I20130809000091 |
Provider Name | Jasjit Kaur Mudhar |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053600015 PECOS PAC ID: 7719104033 Enrollment ID: I20140811001744 |
Provider Name | Amy Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649668278 PECOS PAC ID: 6305165275 Enrollment ID: I20150428001538 |
Provider Name | Tara Pousson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265810584 PECOS PAC ID: 6406166537 Enrollment ID: I20151102002296 |
Provider Name | Andrew M Ellenwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689044117 PECOS PAC ID: 8325348444 Enrollment ID: I20151123000113 |
Provider Name | Sohaib Aleem |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1588894026 PECOS PAC ID: 7012188543 Enrollment ID: I20160617000277 |
Provider Name | Song I Baek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679020119 PECOS PAC ID: 2163701160 Enrollment ID: I20161115001906 |
Provider Name | Melissa A Douthit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457730038 PECOS PAC ID: 3971816950 Enrollment ID: I20180730001059 |
Provider Name | Katrina A Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780166421 PECOS PAC ID: 9931451994 Enrollment ID: I20181003000644 |
Provider Name | Kevin Krembs |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134209265 PECOS PAC ID: 0042230047 Enrollment ID: I20190501000067 |
Provider Name | Benjamin Cale Friesen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366905275 PECOS PAC ID: 0840524179 Enrollment ID: I20190620001091 |
Provider Name | Rachel Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891237541 PECOS PAC ID: 1052696143 Enrollment ID: I20190620002321 |
Provider Name | Bethany White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306395264 PECOS PAC ID: 1557642642 Enrollment ID: I20200422002063 |
Provider Name | Candie Christine Books |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194334631 PECOS PAC ID: 9436574498 Enrollment ID: I20200807000985 |
Provider Name | Gina Marie Slaughter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275124919 PECOS PAC ID: 1153720727 Enrollment ID: I20210602000757 |
Provider Name | Muhammad W Raqeem |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598050494 PECOS PAC ID: 6103068572 Enrollment ID: I20211104001442 |
Provider Name | Nicole Ashley Wheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346975356 PECOS PAC ID: 1456729862 Enrollment ID: I20221116000436 |
Provider Name | Mei Wang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538843370 PECOS PAC ID: 4981062122 Enrollment ID: I20230621001543 |
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