Organization
PROGRESSIVE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASVIR KAUR KAILEY NP (PRESIDENT)
(414) 251-3500
Entity
Organization
Contact information
Practice address
5434 W CAPITOL DR STE 1, MILWAUKEE, WI 53216-2298
(414) 215-3500
(414) 215-3504
Mailing address
W217N5445 TAYLORS WOODS DR, MENOMONEE FALLS, WI 53051-6263
(414) 251-3500
(414) 251-3504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7171-33
STATE LICENSE
WI
05
—
717133
—
WI
Enumeration date
12/31/2020
Last updated
03/06/2025
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