Organization
LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN
Active
Other names
Aspirus Elcho Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
W10618 CLINIC ST, ELCHO, WI 54428-9619
(715) 275-4011
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
02/26/2026
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