Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 125-063768 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 74942 | WI |
N | 2080P0202X | Pediatric Cardiologist | MT212680 | PA |
NPI | 1215376868 |
---|---|
Provider Name | Dr. Kasey J Chaszczewski |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2013 |
Last Update Date | 09/07/2021 |