# ASPIRUS MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASPIRUS MEDICAL GROUP, INC.
- **Other names:** Aspirus Three Lakes Clinic, Aspirus Clinics, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891882056
- **Legal business name:** ASPIRUS MEDICAL GROUP, INC.
- **Authorized official:** LORI PECK (VP REVENUE CYCLE)
- **Authorized official phone:** (715) 847-2988

## Contact information

- **Practice address:** 6951 S MICHIGAN ST, THREE LAKES, WI 54562-9281
- **Practice address phone:** (715) 546-2543
- **Mailing address:** 29980 NETWORK PL, CHICAGO, IL 60673-1299
- **Mailing address phone:** (715) 847-2304
- **Mailing address fax:** (715) 843-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | WI | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 11/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0212750019 | DMERC POS | WI |
| 05 | — | 21300800 | — | WI |