CHILDREN'S MEDICAL GROUP

GLENDALE, WI
NPI1710152954
Doing Business AsRIVER GLEN PEDIATRICS
Entity TypeOrganization
Authorized ContactSMRITI KHARE
President, Children's Medical Group
414-266-7615
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies101YM0800X Counselor Mental Health
101YP2500X Counselor Professional
103TC2200X Psychologist Clinical Child & Adolescent
104100000X Social Worker
1041C0700X Social Worker Clinical
106H00000X Marriage & Family Therapist
2084P0800X Psychiatry & Neurology Psychiatry
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry
Enumeration Date2008-04-29
Last Update Date2021-09-27
Business Address
CHILDREN'S MEDICAL GROUP
4655 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53212-1076
Phone number: 414-247-9530
Mailing Address
CHILDREN'S MEDICAL GROUP
9000 W WISCONSIN AVE MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615