DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELIA DOLORES EGGUM

MEDICARE: ELIA DOLORES EGGUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorWI

General Provider Information

NPI Number : 1033041124
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIA DOLORES EGGUM
Provider Business Mailing Address
First Line : 330 S BROADWAY
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-1518
Country : US
Telephone Number : 414-246-2300
Fax Number :
Provider Business Practice Location Address
First Line : 330 S BROADWAY
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-1518
Country : US
Telephone Number : 715-721-6783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

Similar Medicare Providers

1770135006 — ANGELA RODRIGUEZ
Practice Location Address:
330 S BROADWAY
GREEN BAY, WI
54303-1518
Practice Phone: 920-251-0368
Practice Fax:
1932740453 — SHANELLE CURTICE BSW
Practice Location Address:
330 S BROADWAY
GREEN BAY, WI
54303-1518
Practice Phone: 920-366-8361
Practice Fax:
1962008060 — TAYLOR MALCOLM HARRIS
Practice Location Address:
330 S BROADWAY
GREEN BAY, WI
54303-1518
Practice Phone: 920-470-2394
Practice Fax:
1730847906 — BRANDY JO HAHN LPC-IT
Practice Location Address:
330 S BROADWAY
GREEN BAY, WI
54303-1518
Practice Phone: 414-246-2300
Practice Fax:
1689319642 — CHRISTINA MARIE KING
Practice Location Address:
330 S BROADWAY
GREEN BAY, WI
54303-1518
Practice Phone: 920-547-0161
Practice Fax:
1073320149 — TASHA SCHULKE RN
Practice Location Address:
1518 WESTERN AVE
GREEN BAY, WI
54303-2214
Practice Phone: 920-209-6676
Practice Fax:

Directions to “ ELIA DOLORES EGGUM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.