NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205239001 |   |   |   | JB KENOSHA HEALTHCARE LLC | 1703 60TH ST | KENOSHA | WI | 531403986 |
1609173590 |   |   |   | PH KENOSHA LLC | 7444 LONG AVE | SKOKIE | IL | 600773214 |
1992752380 |   |   |   | BEVERLY ENTERPRISES - WISCONSIN INC | 1703 60TH ST | KENOSHA | WI | 531403986 |
1902183429 | BUSALACCHI | AMY |   |   | 1703 60TH ST | KENOSHA | WI | 531403986 |
1467957134 | FONS | PATRICIA | ELEANOR |   | 3725 SOUTH HERMAN ST. | MILWAUKEE | WI | 53207 |
1952958951 | HORNYAK | AMANDA |   |   | 23 S WESTWOOD AVE | BURLINGTON | WI | 531057946 |
1780832212 | JOHNSON | LINDA | MARIE |   | 1000 BEVERLY WAY | FORT SMITH | AR | 72919 |
1902226012 | MCNAIR | ADRIA |   |   | 1625 ELIZABETH AVE | NORTH CHICAGO | IL | 600642030 |
1033584511 | MILCZARSKI | LISA |   |   | 1703 60TH ST | KENOSHA | WI | 531403986 |
1194276014 | NOWIKOWSKI | BETH |   |   | 2011 CORONA RD | COLUMBIA | MO | 652032548 |
1720559560 | PULS | CHRISTIAN | TIMOTHY |   | 2428 SPRINGDALE RD APT 12 | WAUKESHA | WI | 531868721 |
1720509946 | RICHARDS | ALLISON |   |   | 926 N CASS ST APT 8 | MILWAUKEE | WI | 532023465 |
1811397839 | RIORDAN | EMILY | MARY |   | 1800 W MEYER LN APT 15301 | OAK CREEK | WI | 531548128 |
1649609165 | SHACKELFORD | AMY |   |   | 1703 60TH ST | KENOSHA | WI | 531403986 |
1740794775 | VERFUERTH | BECKY |   |   | 10717 S RICHARD RD | OAK CREEK | WI | 531547955 |