| Endocrine Clinic of Kenosha , S.C. | |
|
3535 30th Ave Suite 101b Kenosha WI 53144-1632 | |
| (262) 842-0420 | |
| (262) 842-0423 |
| Full Name | Endocrine Clinic of Kenosha , S.C. |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3535 30th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Farah Salahuddin (OWNER) |
| Authorized Official Contact | 2628420420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Clinic of Kenosha , S.C. 3535 30th Ave Suite 101b Kenosha WI 53144-1632 Ph: (262) 842-0420 | Endocrine Clinic of Kenosha , S.C. 3535 30th Ave Suite 101b Kenosha WI 53144-1632 Ph: (262) 842-0420 |
| NPI Number | 1407039548 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407039548 | NPI | - | NPPES |
| 34438700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 45853020 (Wisconsin) | Primary |
Steven Schwimmer, DO SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5455 Sheridan Rd, 201, Kenosha, WI 53140 Phone: 262-654-2500 Fax: 252-654-2701 |
Leilane U Sta Romana Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3734 7th Ave, Dominican Building Suite 15, Kenosha, WI 53140 Phone: 262-658-3706 |
Surya Medical Group SC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142 Phone: 262-564-8636 |
Genesis Medical Center of Kenosha, S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-925-8353 |
Great Lakes Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-764-4390 Fax: 262-764-4396 |
Gevinah Healthcare SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Washington Rd, Kenosha, WI 53144 Phone: 310-933-5688 |