| Imelda N Forsberg, NURSE PRACTITIONER | |
|
6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 | |
| (262) 358-2954 | |
| Not Available |
| Full Name | Imelda N Forsberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 6123 Green Bay Rd Ste 120, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306027891 | NPI | - | NPPES |
| 277004152 | Other | IL | FULL PRACTICE AUTHORITY FPA |
| 4854-33 | Other | WI | STATE LICENSE |
| Entity Name | Lake County Acute Care Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861599052 PECOS PAC ID: 5395747281 Enrollment ID: O20070206000313 |
| Entity Name | Minuteclinic Diagnostic Of Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Imelda N Forsberg, NURSE PRACTITIONER 6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 Ph: (262) 358-2954 | Imelda N Forsberg, NURSE PRACTITIONER 6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 Ph: (262) 358-2954 |
Leigh Braun, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700 | |
Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714 | |
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700 | |
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903 | |
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd Ste 2, Kenosha, WI 53142 Phone: 262-999-3495 Fax: 262-821-6180 | |
Alejandra Moore, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560 |