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General NPI Number Information
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NPI Number | 1467051730
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Entity Type | Organization
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Legal Business Name | INFORME HEALTHCARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 745 N SWOPE ST
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City | GREENFIELD
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State | IN
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Zip | 46140-1332
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Country | US
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Telephone | 317-462-9221
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Fax | 888-724-0875
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Provider Business Mailing Address
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Address Line | 2741 W LAYTON AVE STE 106
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City | MILWAUKEE
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State | WI
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Zip | 53221-2600
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Country | US
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Telephone | 414-242-5468
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Fax | 888-724-0875
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Authorized Official
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Title or Position | CEO
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Name | JODI CZERNEJESKI
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Credential |
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Telephone | 414-242-5468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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