Children's Medical Group

NPI #1427223783 in Kenosha, Wisconsin

Provider Information

NPI Number: 1427223783
Entity Type: Organization
Organization Name: Children's Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S MEDICAL GROUP
Primary Specialty: Pediatrics
Enumeration Date: Apr 28, 2008
Last Updated: Nov 30, 2011

Practice Location

Address: 8600 75TH ST
Address 2: SUITE 101
City: Kenosha
State: Wisconsin
ZIP Code: 53142-8200
Phone: (262) 652-9430

Authorized Official

Name: SMRITI KHARE, M.D.
Title: PRESIDENT, CHILDREN'S MEDICAL GROUP
Phone: (414) 266-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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