Healthcare Provider Details
I. General information
NPI: 1831044940
Provider Name (Legal Business Name): ASPIRUS MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4005 COMMUNITY CENTER DR
WESTON WI
54476-4139
US
IV. Provider business mailing address
29980 NETWORK PL
CHICAGO IL
60673-1299
US
V. Phone/Fax
- Phone: 715-241-5490
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LORI
PECK
Title or Position: SVP- CHIEF FINANCIAL OFFICER
Credential:
Phone: 715-847-2575