Organization
CHILDREN'S MEDICAL GROUP
Active
Other names
Forest Home Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA REUTEMAN (SR. CREDENTIALING COORDINATOR)
(414) 266-7615
Entity
Organization
Contact information
Practice address
1432 W FOREST HOME AVE STE 400, MILWAUKEE, WI 53204-3228
(414) 567-5402
(414) 567-5359
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
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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