# PIC WISCONSIN SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124678354
- **Authorized official:** MS. ELIZABETH MILLER (SENIOR CREDENTIALING SPECIALIST)
- **Authorized official phone:** (847) 653-0130

## Contact information

- **Practice address:** 19165 W BLUEMOUND RD, BROOKFIELD, WI 53045-6076
- **Practice address phone:** (847) 653-0130
- **Mailing address:** 9701 W HIGGINS RD STE 270, ROSEMONT, IL 60018-4703
- **Mailing address phone:** (847) 653-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019