| Tms Clinical Services Of Wisconsin Sc | |
|
2448 S 102nd St Ste 180 West Allis WI 53227-2466 | |
| (630) 974-6602 | |
| (630) 487-2411 |
| Full Name | Tms Clinical Services Of Wisconsin Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2448 S 102nd St Ste 180, West Allis, Wisconsin |
| Authorized Official Name and Position | Teresa Poprawski (PRESIDENT) |
| Authorized Official Contact | 6309746602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Clinical Services Of Wisconsin Sc 1100 Jorie Blvd Ste 300 Oak Brook IL 60523-2219 Ph: (630) 974-6602 | Tms Clinical Services Of Wisconsin Sc 2448 S 102nd St Ste 180 West Allis WI 53227-2466 Ph: (630) 974-6602 |
| NPI Number | 1528734902 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 6709279482 |
|---|---|
| Medicare Enrollment ID | O20220201000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528734902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Susan R Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629036181 PECOS PAC ID: 9931165784 Enrollment ID: I20190816002691 |
| Provider Name | Teresa Poprawski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861611345 PECOS PAC ID: 5496847063 Enrollment ID: I20211004000258 |
| Provider Name | Stacy Gronek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811254816 PECOS PAC ID: 9436501863 Enrollment ID: I20240214002504 |
| Provider Name | Melissa J Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104688589 PECOS PAC ID: 5698110831 Enrollment ID: I20240228000808 |
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