DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF WISCONSIN

Active Organization

ICF/Individuals with Intellectual Disabilities · CHIPPEWA FALLS, WI

Registration Details

NPI Number
1235225616
Provider Type
Organization
NPI Issued
Oct 5, 2006 (19.545317991202 yrs)
Last Updated
Apr 30, 2025
License
2753 (WI)

Practice Information

Address
2820 EAST PARK AVENUE
CHIPPEWA FALLS, WI, 547290340
Browse WI providers · Browse ZIP 54729
Phone
7157237957
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.