# CHILDREN'S HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Urgent Care - Kenosha
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780155275
- **Authorized official:** MARC CADIEUX (CORP VP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (414) 266-6226

## Contact information

- **Practice address:** 6809 122ND AVENUE, KENOSHA, WI 54342-7335
- **Practice address phone:** (262) 891-6600
- **Practice address fax:** (262) 891-6602
- **Mailing address:** 9000 W WISCONSIN AVE \# MS 958, MILWAUKEE, WI 53226-4874
- **Mailing address phone:** (414) 266-7615
- **Mailing address fax:** (414) 266-6238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2018
- **Last updated:** 12/26/2018