CHESTNUT MEDICINE OF WI LTD

WAUKESHA, WI
NPI1043805930
Entity TypeOrganization
Authorized ContactOMAIR SIRAJ
CEO
703-964-8199
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2021-03-03
Last Update Date2022-05-27
Business Address
CHESTNUT MEDICINE OF WI LTD
1451 CLEVELAND AVE
WAUKESHA, WI 53186-3876
Phone number: 262-547-2123
Mailing Address
CHESTNUT MEDICINE OF WI LTD
PO BOX 33
BEDFORD PARK, IL 60499-0033
Phone number: 703-964-8199