Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aurora Health Care Southern Lakes, Inc

Organization Cardiovascular Disease Physician · NPI 1225156888

Aurora Health Care Southern Lakes, Inc is a Cardiovascular Disease Physician in Kenosha, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142
Phone: (262) 942-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Nuclear Medicine Physician Taxonomy 207U00000X
Radiation Oncology Physician Taxonomy 2085R0001X
Surgery Physician Taxonomy 208600000X
Pain Medicine Physician Taxonomy 208VP0000X
Mobile Radiology Clinic/Center Taxonomy 261QR0208X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1225156888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kara Richardson — Vp Managed Heealth · (704) 631-0450
Other names Aurora Medical Center Kenosha; Aurora Medical Center Kenosha
NPI enumeratedMarch 26, 2007
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address10400 75th St, Kenosha, WI 53142-7884

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