Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Children's Hospital of Wisconsin

Organization Pediatrics Physician · NPI 1194064865

Children's Hospital of Wisconsin provides Pediatrics Physician services in Racine, Wisconsin. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

2405 Northwestern Ave Ste 205
Racine, WI 53404-2534 Not confirmed with CMS for 13 years — call before visiting
Phone: (262) 898-7970
Fax: (262) 898-6621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1194064865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Weldon Gage — Credentialing Coordinator · (414) 266-6401
Other names Child Advocacy Center - Racine
NPI enumeratedJanuary 31, 2013
Last updated in NPPESSeptember 27, 2013
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874

Other providers in Racine