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Contact Information

COMMONWEALTH MEDICAL GROUP, LLC
851 S 70TH ST
SUITE 101
WEST ALLIS, WI53214-3147
 Phone: 414-777-5100
 Fax: 414-777-5112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COMMONWEALTH MEDICAL GROUP LLC · (Female)

NPI # 1477500361
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2006
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1314-029
  • WI Medicaid 21251000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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