Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (ASSISTANT TREASURER)
(980) 416-4068
Entity
Organization
Contact information
Practice address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(877) 576-3544
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(877) 576-3544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21268100
—
WI
05
—
32749100
—
WI
05
—
32762100
—
WI
05
—
32816700
—
WI
05
—
32826200
—
WI
05
—
32829500
—
WI
05
—
32830000
—
WI
05
—
32838200
—
WI
05
—
32838500
—
WI
05
—
32841800
—
WI
05
—
32843400
—
WI
05
—
32844600
—
WI
05
—
32844700
—
WI
05
—
32852100
—
WI
05
—
32871900
—
WI
05
—
32872300
—
WI
05
—
32878000
—
WI
05
—
32891500
—
WI
05
—
32895600
—
WI
05
—
42215800
—
WI
05
—
42234500
—
WI
Enumeration date
04/10/2007
Last updated
01/09/2026
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