OrganizationActive
Subdoc
NPI 1477023729 · Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1477023729
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karina Chelsky, Administrator(414) 467-8884
Specialties & taxonomies
Ambulatory Health Care Facilities
- Peer Specialist175T00000X
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Research Clinic/Center261QR1100X
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7275 N Port Washington Rd Apt 314
Milwaukee, WI 53217-3337
Phone: (414) 467-8884
Fax: (414) 435-3126
Street-level locationGet directions
Mailing address
7275 N Port Washington Rd Apt 314
Milwaukee, WI 53217-3337
Registry dates
- Enumerated
- 2018-11-29
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.