Healthcare Provider Details

I. General information

NPI: 1346139029
Provider Name (Legal Business Name): SOUTHWEST SUBURBAN HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 W NATIONAL AVE
WEST ALLIS WI
53214-4732
US

IV. Provider business mailing address

7120 W NATIONAL AVE
WEST ALLIS WI
53214-4732
US

V. Phone/Fax

Practice location:
  • Phone: 414-302-8600
  • Fax:
Mailing address:
  • Phone: 414-302-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HEALTHER PARADIS
Title or Position: PRIMARY CARE PEDIATRICIAN
Credential: MD
Phone: 414-277-8900