Organization
INDEPENDENT CARE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA JEROMINSKI (PRESIDENT AND CEO)
(414) 223-4847
Entity
Organization
Contact information
Practice address
1555 N RIVERCENTER DR, SUITE 202A, MILWAUKEE, WI 53212-3981
(414) 223-4847
(414) 231-1092
Mailing address
1555 N RIVERCENTER DR, SUITE 202A, MILWAUKEE, WI 53212-3981
(414) 223-4847
(414) 231-1092
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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