| Informe Healthcare In, Llc | |
|
2741 W Layton Ave Ste 106 Milwaukee WI 53221-2600 | |
| (414) 242-5468 | |
| (888) 724-0875 |
| Full Name | Informe Healthcare In, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2741 W Layton Ave Ste 106, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Jodi Czernejewski (CEO) |
| Authorized Official Contact | 4142425468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Informe Healthcare In, Llc 2741 W Layton Ave Ste 106 Milwaukee WI 53221-2600 Ph: (414) 242-5468 | Informe Healthcare In, Llc 2741 W Layton Ave Ste 106 Milwaukee WI 53221-2600 Ph: (414) 242-5468 |
| NPI Number | 1992276638 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 01/16/2020 |
| Medicare PECOS PAC ID | 9537407770 |
|---|---|
| Medicare Enrollment ID | O20190213000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992276638 | NPI | - | NPPES |
| Provider Name | Steven Delee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407845001 PECOS PAC ID: 1658329461 Enrollment ID: I20050621001018 |
| Provider Name | Lisa Darlene Stults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033181599 PECOS PAC ID: 4880628486 Enrollment ID: I20050922001140 |
| Provider Name | Oranu Ibekie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134190713 PECOS PAC ID: 8921074311 Enrollment ID: I20051115000076 |
| Provider Name | Gwendolyn J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497990139 PECOS PAC ID: 2062562135 Enrollment ID: I20090611000076 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Mohamed O Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073748422 PECOS PAC ID: 1456526813 Enrollment ID: I20130720000130 |
| Provider Name | Asad Kizilbash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861630907 PECOS PAC ID: 1254485535 Enrollment ID: I20130809000091 |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668278 PECOS PAC ID: 6305165275 Enrollment ID: I20150428001538 |
| Provider Name | Tara Pousson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265810584 PECOS PAC ID: 6406166537 Enrollment ID: I20151102002296 |
| Provider Name | Andrew M Ellenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044117 PECOS PAC ID: 8325348444 Enrollment ID: I20151123000113 |
| Provider Name | Sohaib Aleem |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588894026 PECOS PAC ID: 7012188543 Enrollment ID: I20160617000277 |
| Provider Name | Nancy E Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700335437 PECOS PAC ID: 7416239165 Enrollment ID: I20170113000274 |
| Provider Name | Edith A Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142527 PECOS PAC ID: 2365702784 Enrollment ID: I20180205000052 |
| Provider Name | Melissa A Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457730038 PECOS PAC ID: 3971816950 Enrollment ID: I20180730001059 |
| Provider Name | Benjamin Cale Friesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366905275 PECOS PAC ID: 0840524179 Enrollment ID: I20190620001091 |
| Provider Name | Candie Christine Books |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194334631 PECOS PAC ID: 9436574498 Enrollment ID: I20200807000985 |
| Provider Name | Christa Shea Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118962 PECOS PAC ID: 8820406978 Enrollment ID: I20210409001410 |
| Provider Name | Ayana Isham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780269084 PECOS PAC ID: 9436567021 Enrollment ID: I20210420002375 |
| Provider Name | Gina Marie Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275124919 PECOS PAC ID: 1153720727 Enrollment ID: I20210602000757 |
| Provider Name | Lakhwinder Insan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336712710 PECOS PAC ID: 2668879412 Enrollment ID: I20210922001046 |
| 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 |
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