Organization
INFORME HEALTHCARE IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI CZERNEJEWSKI (CEO)
(414) 242-5468
Entity
Organization
Contact information
Practice address
11401 S OAKLEY AVE, CHICAGO, IL 60643-4196
(773) 233-6311
(773) 945-0591
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
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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