Provider Demographics
NPI:1346139029
Name:SOUTHWEST SUBURBAN HEALTH DEPARTMENT
Entity type:Organization
Organization Name:SOUTHWEST SUBURBAN HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CARE PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HEALTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PARADIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-277-8900
Mailing Address - Street 1:7120 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4732
Mailing Address - Country:US
Mailing Address - Phone:414-302-8600
Mailing Address - Fax:
Practice Address - Street 1:7120 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-4732
Practice Address - Country:US
Practice Address - Phone:414-302-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF WEST ALLIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care