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Organization

INFORME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI M CZERNEJEWSKI (CEO)
(414) 312-5165
Entity
Organization

Contact information

Practice address
2741 W LAYTON AVE., SUITE 106, MILWAUKEE, WI 53221
(414) 242-5468
Mailing address
2741 W LAYTON AVE STE 106, MILWAUKEE, WI 53221-2600
(414) 242-5468

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
207QA0401X
Addiction Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
Primary
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
2084P0800X
Psychiatry Physician
208M00000X
Hospitalist Physician
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/19/2018
Last updated
01/29/2026
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