Ihc Pleasant Prairie Inpatient Services Llc | |
9555 76th St Pleasant Prairie WI 53158-1984 | |
(262) 577-8000 | |
Not Available |
Full Name | Ihc Pleasant Prairie Inpatient Services Llc |
---|---|
Speciality | Internal Medicine |
Location | 9555 76th St, Pleasant Prairie, Wisconsin |
Authorized Official Name and Position | Karen Marie Vaughn (OFFICER) |
Authorized Official Contact | 9732511132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ihc Pleasant Prairie Inpatient Services Llc 5565 Centerview Dr Ste 107 Raleigh NC 27606-3563 Ph: () - | Ihc Pleasant Prairie Inpatient Services Llc 9555 76th St Pleasant Prairie WI 53158-1984 Ph: (262) 577-8000 |
NPI Number | 1053982926 |
---|---|
Provider Enumeration Date | 07/01/2021 |
Last Update Date | 03/29/2023 |
Medicare PECOS PAC ID | 2961800628 |
---|---|
Medicare Enrollment ID | O20211011000595 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053982926 | NPI | - | NPPES |
Provider Name | Dragos G Nanul |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083660070 PECOS PAC ID: 1759418635 Enrollment ID: I20100423000934 |
Provider Name | Uwa Kalu |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508093527 PECOS PAC ID: 0244490431 Enrollment ID: I20121210000443 |
Provider Name | Grigory Roginsky |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598027104 PECOS PAC ID: 7911200258 Enrollment ID: I20160719000074 |
Provider Name | Zaheer Akhtar |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1366002966 PECOS PAC ID: 9436485216 Enrollment ID: I20220819001617 |
Ihc Hospitalists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 |