| Ihc-snf LLC | |
|
8633 32nd Ave Kenosha WI 53142-5187 | |
| (414) 290-6720 | |
| (414) 290-6755 |
| Full Name | Ihc-snf LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 8633 32nd Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Gregory a Cierlik (PRESIDENT - COO) |
| Authorized Official Contact | 4142906700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihc-snf LLC 111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 Ph: (414) 290-6720 | Ihc-snf LLC 8633 32nd Ave Kenosha WI 53142-5187 Ph: (414) 290-6720 |
| NPI Number | 1598214363 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598214363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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