National Provider Identifier Database

CHILDRENS MEDICAL GROUP
Pediatrics

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 development.


Contact Information

CHILDREN'S MEDICAL GROUP
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI53204-3228
Phone: 414-567-5402
Fax: 414-567-5359
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Child & Adolescent Psychiatry 2084P0804X
Clinical 1041C0700X
Clinical Child & Adolescent 103TC2200X
Family 363LF0000X
Marriage & Family Therapist 106H00000X
Medical 363AM0700X
Mental Health 101YM0800X
Pediatrics 363LP0200X
Physician Assistant 363A00000X
Professional 101YP2500X
Psychiatry 2084P0800X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S MEDICAL GROUP

NPI Number 1821738261
Legal business name
LBN
CHILDREN'S MEDICAL GROUP
Authorized official SHEILA REUTEMAN - (SR. CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 04/01/2022
Last updated 04/01/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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