Healthcare Provider Details

I. General information

NPI: 1861896029
Provider Name (Legal Business Name): CHILDREN'S HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 05/21/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 W. GOOD HOPE RD. SUITE 200
MILWAUKEE WI
53223-4612
US

IV. Provider business mailing address

9000 W WISCONSIN AVE MAIL STATION 958
MILWAUKEE WI
53226-4874
US

V. Phone/Fax

Practice location:
  • Phone: 414-337-8988
  • Fax: 414-337-7042
Mailing address:
  • Phone: 414-266-7615
  • Fax: 414-266-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARC CADIEUX
Title or Position: TREASURER/CHIEF FINANCIAL OFFICER
Credential:
Phone: 414-266-6401