Organization
AURORA CANCER CARE OF KENOSHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE B YAKE (VICE PRESIDENT FINANCE)
(262) 948-5846
Entity
Organization
Contact information
Practice address
6811 118TH AVE, KENOSHA, WI 53142-8420
(262) 942-5600
Mailing address
6811 118TH AVE, KENOSHA, WI 53142-8420
(262) 942-5600
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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