MEDICARE: SAPIENT HEALTH

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1962391706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAPIENT HEALTH

Provider Business Mailing Address
First Line	:	1515 S PRAIRIE AVE UNIT 411
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-3019
Country	:	US
Telephone Number	:	815-529-5949
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 VILLAGE PARK DR APT 322A
Second Line	:
City	:	PLOVER
State	:	WI
Zip	:	54467-0018
Country	:	US
Telephone Number	:	815-529-5949
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	DR. BRANDON P WISINSKI
Credential	:	DO
Telephone Number	:	815-529-5949

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	08/09/2025

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Directions to “SAPIENT HEALTH ” Practice Location

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