MEDICARE: AURORA MEDICAL GROUP, INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225868870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	414-647-6326
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 SPRING CITY DR
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-5934
Country	:	US
Telephone Number	:	262-301-2020
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT TREASURER
Name	:	KARA RICHARDSON
Credential	:
Telephone Number	:	704-631-0450

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	10/14/2025

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