| Northwestern Medical Center Sc | |
|
1532 S Green Bay Rd Suite 200 Racine WI 53406-4410 | |
| (262) 631-0474 | |
| (262) 631-0476 |
| Full Name | Northwestern Medical Center Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1532 S Green Bay Rd, Racine, Wisconsin |
| Authorized Official Name and Position | Kenneth J Kurt (PRESIDENT) |
| Authorized Official Contact | 2626310474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Center Sc 1532 S Green Bay Rd Suite 200 Racine WI 53406-4410 Ph: (262) 631-0474 | Northwestern Medical Center Sc 1532 S Green Bay Rd Suite 200 Racine WI 53406-4410 Ph: (262) 631-0474 |
| NPI Number | 1033288816 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033288816 | NPI | - | NPPES |
| 38736439001 | Other | BCBS | |
| 30038200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14968021 (Wisconsin) | Primary |
Bruce A Luccas, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Ste 130, Racine, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
Family Care Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5439 Durand Ave, Suite 202, Racine, WI 53406 Phone: 262-598-9205 | |
Kenosha Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 Center St, Racine, WI 53403 Phone: 262-764-3608 Fax: 262-764-3636 | |
Racine Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Dr Martin Luther King Dr # 17, Racine, WI 53404 Phone: 262-800-7242 | |
Lotus Comprehensive Health Care, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Indiana St, Racine, WI 53405 Phone: 262-497-1000 | |
Tiferet Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5439 Durand Ave, Suite 200, Racine, WI 53406 Phone: 262-554-6869 Fax: 262-554-6883 |