# ACCENTCARE MEDICAL GROUP OF WISCONSIN, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seasons Medical Group of Wisconsin, SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275976979
- **Authorized official:** CARRIE BILL (FINANCE DIRECTOR)
- **Authorized official phone:** (847) 692-1148

## Contact information

- **Practice address:** 6737 W WASHINGTON ST, STE 2150, WEST ALLIS, WI 53214-5647
- **Practice address phone:** (800) 379-5105
- **Mailing address:** 6400 SHAFER CT STE 300A, ROSEMONT, IL 60018-4914
- **Mailing address phone:** (847) 692-1000
- **Mailing address fax:** (224) 532-2780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 01/19/2023