| NPI | 1275976979 |
|---|---|
| Former Legal Business Name | SEASONS MEDICAL GROUP OF WISCONSIN, SC |
| Entity Type | Organization |
| Authorized Contact | CARRIE BILL Finance Director 847-692-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-01-19 |