institution
Ihc-kenosha Radiology, Llc
Diagnostic Radiology Physician in Pleasant Prairie, Wisconsin
NPI 1225087224

Ihc-kenosha Radiology, Llc is a Diagnostic Radiology Physician based in Milwaukee, WI and is specialized in Diagnostic Radiology. Ihc-kenosha Radiology, Llc practices in Pleasant Prairie, WI. The NPI Number for Ihc-kenosha Radiology, Llc is 1225087224 and holds a License No. (Wisconsin).

The current practice location address for Ihc-kenosha Radiology, Llc is 9555 76Th Street, Pleasant Prairie, WI and can be reached out via phone at 414-290-6720 and via fax at 414-290-6755.

Location: 9555 76Th Street, Pleasant Prairie, WI, 53202-4815
institution
Provider Profile Details
NPI Number
1225087224
Provider Name
Ihc-kenosha Radiology, Llc
Credential
Provider Entity Type
Organization
Address
9555 76Th Street, Pleasant Prairie, WI, 53202-4815
Phone Number
414-290-6720
Fax Number
414-290-6755
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020447700 01 WI FEDERAL BLACK LUNG PROGRA
120005850 01 WI WEA
32881400 05 WI
CG5950 01 WI MEDICARE RAILROAD
125363400 01 WI OWCP
institution
Provider Business Practice Location Address Details
Address
9555 76Th Street
City
State
Zip
53158-1984
Phone Number
414-290-6720
Fax Number
414-290-6755
person
Provider Business Mailing Address Details
Address
9555 76Th Street
City
State
Zip
53158-1984
Phone Number
414-290-6720
Fax Number
414-290-6755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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