Active NPI
Informe Healthcare in, LLC
- Internal Medicine Physician
- Milwaukee, WI
National Provider Identifier
1992276638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INFORME HEALTHCARE IN, LLC
- Practice address
- 2741 W Layton Ave Ste 106
Milwaukee, WI 53221-2600 - Phone
- (414) 242-5468
- Fax
- (888) 724-0875
- NPI assigned
- Dec 6, 2018
- Last updated
- Jan 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Czernejewski
- Title
- Ceo
- Phone
- (414) 242-5468
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU |
Addresses
Primary practice location
2741 W Layton Ave Ste 106
Milwaukee, WI 53221-2600
Mailing address
2741 W Layton Ave Ste 106
Milwaukee, WI 53221-2600
Phone (414) 242-5468
Other practice location 1
8800 Virginia Pl
Merrillville, IN 46410-7109
Phone (219) 736-1310
Other practice location 2
6685 E 117th Ave
Crown Point, IN 46307-7808
Phone (219) 662-0642
Other practice location 3
745 N Swope St
Greenfield, IN 46140-1332
Phone (317) 462-9221
Other practice location 4
1309 E Grace St
Rensselaer, IN 47978-3298
Phone (219) 866-4181
Other practice location 5
4410 W 49th Ave
Hobart, IN 46342-3744
Phone (219) 947-1507
Other practice location 6
811 E 12th St
Mishawaka, IN 46544-5408
Phone (574) 249-1917
Other practice location 7
Methodist Southlake Hospital
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-5500
Other practice location 8
Methodist Northlake Hospital
600 Grant Street
Gary, IN 46402-6001
Phone (219) 886-4000
Other practice location 9
Franciscan Health Rensselaer
1104 E. Grace St.
Rensselaer, IN 47978-3211
Phone (219) 886-5141
Other practice location 10
609 Tanglewood Ln
Mishawaka, IN 46545-2625
Phone (574) 277-2500
Other practice location 11
1574 E 85th Ave
Merrillville, IN 46410-8900
Phone (219) 769-4100
Other practice location 12
609 Tanglewood Ln
Mishawaka, IN 46545-2625
Phone (574) 277-2500
Other practice location 13
811 E 12th St
Mishawaka, IN 46544-5408
Phone (574) 249-1917
Other practice location 14
8800 Virginia Pl
Merrillville, IN 46410-7109
Phone (219) 733-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
220 Bloomingdale Dr
Bristol, IN 46507
Phone (574) 848-4449
2860 Churchman Ave
Indianapolis, IN 46203
Phone (317) 787-3451
1574 E 85th Ave
Merrillville, IN 46410
Phone (219) 769-4100
1930 Edison Rd
South Bend, IN 46617
Phone (574) 213-2727
1950 Ridgedale Rd
#R
South Bend, IN 46614
Phone (574) 291-6722
Practitioners & affiliated clinicians
Practitioners 45
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- South Bend, IN
- NPI 1336400167
-
- Family Nurse Practitioner
- Plymouth, IN
- NPI 1194334631
-
- Adult Health Nurse Practitioner
- Merrillville, IN
- NPI 1265810584
-
- Nurse Practitioner
- Fishers, IN
- NPI 1689044117
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1295298958
-
- Family Nurse Practitioner
- Munster, IN
- NPI 1720576986
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1548421985
-
- Family Nurse Practitioner
- Mishawaka, IN
- NPI 1649668278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579132800000",
"number": "1992276638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 W LAYTON AVE STE 106",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212600",
"telephone_number": "414-242-5468",
"fax_number": "888-724-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 W LAYTON AVE STE 106",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212600",
"telephone_number": "414-242-5468",
"fax_number": "888-724-0875"
}
],
"practiceLocations": [
{
"address_1": "8800 Virginia Pl",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107109",
"country_code": "US",
"telephone_number": "219-736-1310",
"fax_number": "219-756-3562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6685 E 117th Ave",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463077808",
"country_code": "US",
"telephone_number": "219-662-0642",
"fax_number": "219-663-4260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 N Swope St",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "IN",
"postal_code": "461401332",
"country_code": "US",
"telephone_number": "317-462-9221",
"fax_number": "317-462-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1309 E Grace St",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "479783298",
"country_code": "US",
"telephone_number": "219-866-4181",
"fax_number": "219-866-3292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4410 W 49th Ave",
"address_purpose": "LOCATION",
"city": "Hobart",
"state": "IN",
"postal_code": "463423744",
"country_code": "US",
"telephone_number": "219-947-1507",
"fax_number": "219-942-3279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 E 12th St",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465445408",
"country_code": "US",
"telephone_number": "574-249-1917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Methodist Southlake Hospital",
"address_2": "8701 Broadway",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "46410",
"country_code": "US",
"telephone_number": "219-738-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Methodist Northlake Hospital",
"address_2": "600 Grant Street",
"address_purpose": "LOCATION",
"city": "Gary",
"state": "IN",
"postal_code": "464026001",
"country_code": "US",
"telephone_number": "219-886-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Franciscan Health Rensselaer",
"address_2": "1104 E. Grace St.",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "479783211",
"country_code": "US",
"telephone_number": "219-886-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 Tanglewood Ln",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465452625",
"country_code": "US",
"telephone_number": "574-277-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1574 E 85th Ave",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464108900",
"country_code": "US",
"telephone_number": "219-769-4100",
"fax_number": "219-795-1419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 Tanglewood Ln",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465452625",
"country_code": "US",
"telephone_number": "574-277-2500",
"fax_number": "574-273-5314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 E 12th St",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465445408",
"country_code": "US",
"telephone_number": "574-249-1917",
"fax_number": "574-271-0193",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 Virginia Pl",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107109",
"country_code": "US",
"telephone_number": "219-733-1310",
"fax_number": "219-756-3562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INFORME HEALTHCARE IN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-06",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A",
"authorized_official_last_name": "CZERNEJEWSKI",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-242-5468"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.