Organization
CHORUS COMMUNITY HEALTH PLANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RAKOWSKI (PRESIDENT)
(414) 266-6328
Entity
Organization
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-3518
(414) 266-6190
(414) 266-7638
Mailing address
PO BOX 88339, MILWAUKEE, WI 53288-0001
(414) 266-6190
(414) 266-7638
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
18757
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44019300
—
WI
Enumeration date
05/31/2007
Last updated
02/02/2023
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