Organization · Type 2 NPI

Children's Medical Group

Pediatrics Physician · Kenosha, WI

NPI number 1427223783 Active

Practice location

8600 75th St, Suite 101
Kenosha, WI 53142-8200

Call (262) 652-9430 Map

Fax (262) 652-9433

Mailing address

9000 W Wisconsin Ave, Ms 958
Milwaukee, WI 53226-4874

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

5 other providers at this address

Other pediatrics physician providers in Kenosha

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NPI record

NPI: 1427223783
Entity type: Organization (Type 2)
Issued: Apr 28, 2008
Last updated: Nov 30, 2011
Status: Active
Subpart: Yes of Children's Medical Group

Other names

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Lakeside Pediatrics · doing business as

Authorized official

Smriti Khare, MD
President, Children's Medical Group
(414) 266-7615

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427223783

Children's Medical Group's National Provider Identifier is 1427223783, issued on Apr 28, 2008. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Kenosha, WI. The record was last updated on Nov 30, 2011.