Organization
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21259500
—
WI
Enumeration date
05/26/2006
Last updated
02/26/2026
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