| Muslim Community And Health Center Of Wisconsin Inc | |
|
803 W Layton Ave Milwaukee WI 53221-2426 | |
| (414) 939-4411 | |
| (414) 939-4466 |
| Full Name | Muslim Community And Health Center Of Wisconsin Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 803 W Layton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Arman Tahir (PRESIDENT) |
| Authorized Official Contact | 4149394411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muslim Community And Health Center Of Wisconsin Inc 803 West Layton Ave Milwaukee WI 53221-2426 Ph: (414) 939-4411 | Muslim Community And Health Center Of Wisconsin Inc 803 W Layton Ave Milwaukee WI 53221-2426 Ph: (414) 939-4411 |
| NPI Number | 1962850768 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 11/15/2016 |
| Medicare PECOS PAC ID | 7618258062 |
|---|---|
| Medicare Enrollment ID | O20161227001392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962850768 | NPI | - | NPPES |
| 1962850768 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Mushir B Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043287436 PECOS PAC ID: 7719975101 Enrollment ID: I20040504001169 |
| Provider Name | Asma Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659392769 PECOS PAC ID: 2466453261 Enrollment ID: I20070122000465 |
| Provider Name | Joanna E Galezowska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205905288 PECOS PAC ID: 7416039698 Enrollment ID: I20080126000128 |
| Provider Name | Imad Katib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740237601 PECOS PAC ID: 1052491164 Enrollment ID: I20090105000554 |
| Provider Name | Umar Shad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043499049 PECOS PAC ID: 3779637731 Enrollment ID: I20090811000290 |
| Provider Name | Maria Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992974703 PECOS PAC ID: 8527248368 Enrollment ID: I20110210000560 |
| Provider Name | Virginia Anne Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952656704 PECOS PAC ID: 5991956104 Enrollment ID: I20121116000541 |
| Provider Name | Muddassir Mohiuddin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588095277 PECOS PAC ID: 1153613120 Enrollment ID: I20160712001880 |
| Provider Name | Marie M Tamanji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073963773 PECOS PAC ID: 3375829369 Enrollment ID: I20170405001275 |
| Provider Name | David S Schoenberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124540257 PECOS PAC ID: 4688946122 Enrollment ID: I20170818000700 |
| Provider Name | Cynthia Treat |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689876906 PECOS PAC ID: 1951677236 Enrollment ID: I20171101001784 |
| Provider Name | Kenneth C. Redlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720072291 PECOS PAC ID: 0547173239 Enrollment ID: I20171221002717 |
| Provider Name | Anne Marie Markofski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568739977 PECOS PAC ID: 5799046561 Enrollment ID: I20180220000182 |
| Provider Name | Leah Fabis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083128433 PECOS PAC ID: 2365794666 Enrollment ID: I20181204000042 |
| Provider Name | Lena R Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699125385 PECOS PAC ID: 4688901135 Enrollment ID: I20190807001293 |
| Provider Name | Jillian Marie Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721055 PECOS PAC ID: 6800123100 Enrollment ID: I20190808003978 |
| Provider Name | Christine Joanne Schaefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073631016 PECOS PAC ID: 8921433764 Enrollment ID: I20200124000070 |
| Provider Name | Der Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467093864 PECOS PAC ID: 6608203807 Enrollment ID: I20200228000929 |
| Provider Name | Leighann Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184394553 PECOS PAC ID: 5698169803 Enrollment ID: I20220304001421 |
| Provider Name | Rizwan Arshad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902047723 PECOS PAC ID: 1850785957 Enrollment ID: I20220307002433 |
| Provider Name | Alyssa Rose Henke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013654508 PECOS PAC ID: 6608257381 Enrollment ID: I20220713002052 |
| Provider Name | Sabreen Sarsour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174252704 PECOS PAC ID: 7012390412 Enrollment ID: I20220817003782 |
| Provider Name | Syeda F Roshan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770915589 PECOS PAC ID: 0840512596 Enrollment ID: I20220825000098 |
| Provider Name | April L Fischer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730529363 PECOS PAC ID: 4789060393 Enrollment ID: I20221005002642 |
| Provider Name | Jenna Kay Schneider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740982800 PECOS PAC ID: 3678948510 Enrollment ID: I20230407000322 |
| Provider Name | Tajana Jovicic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801494778 PECOS PAC ID: 7911366117 Enrollment ID: I20230706002252 |
| Provider Name | Teresa Marie Palmisano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073822458 PECOS PAC ID: 8921467838 Enrollment ID: I20230710001785 |
| Provider Name | Megan Rose Wirth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568148807 PECOS PAC ID: 0143680413 Enrollment ID: I20230718002836 |
| Provider Name | Clara Jean Jelacic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962285577 PECOS PAC ID: 1951765866 Enrollment ID: I20230912000189 |
| Provider Name | Michele Jean Ellingsberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750354734 PECOS PAC ID: 5799149639 Enrollment ID: I20230912000973 |
| Provider Name | Gwendelin Ann Salmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851070551 PECOS PAC ID: 1759735939 Enrollment ID: I20230921001296 |
| Provider Name | Jamie Lynn Halleen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811402266 PECOS PAC ID: 4880048016 Enrollment ID: I20230921003398 |
| Provider Name | Gabriel Hilding Thomson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932827052 PECOS PAC ID: 7214382712 Enrollment ID: I20231018000377 |
| Provider Name | Sohail M Majeed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184976540 PECOS PAC ID: 8820434301 Enrollment ID: I20240306003272 |
| Provider Name | Amanda Nicole Klaeser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518718139 PECOS PAC ID: 7810336013 Enrollment ID: I20240422000690 |
| Provider Name | Angela Rose Beaudoin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609049600 PECOS PAC ID: 4385086453 Enrollment ID: I20240522000310 |
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