Organization
CHILDREN'S HEALTH SYSTEM, INC.
Active
Other names
Children's Urgent Care - Kenosha
Organization subpart
No
Provider details
NPI number
Authorized official
MARC CADIEUX (CORP VP & CHIEF FINANCIAL OFFICER)
(414) 266-6226
Entity
Organization
Contact information
Practice address
6809 122ND AVENUE, KENOSHA, WI 54342-7335
(262) 891-6600
(262) 891-6602
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780155275
—
WI
Enumeration date
12/10/2018
Last updated
12/26/2018
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