Organization
INFORME HC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI CZERNEJEWSKI (CEO)
(414) 242-5468
Entity
Organization
Contact information
Practice address
2300 GREAT LAKES DR, DYER, IN 46311-1917
(219) 322-3555
(888) 724-0875
Mailing address
2741 W LAYTON AVE STE 106, MILWAUKEE, WI 53221-2600
(414) 242-5468
(888) 724-0875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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