Individual ProviderJuno ParkStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1801 W Wisconsin Ave, Milwaukee, WI 53233-2186(414) 288-6790PECOS EnrollmentBased on the most recent information from CMS, provider Juno Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477248862Provider TypeIndividualFull NamePark, JunoGenderMaleSole ProprietorNoEnumeration Date4/10/2023Last Updated4/10/2023Contact InformationPractice LocationPractice Address1801 W Wisconsin Ave, Milwaukee, WI 53233-2186Phone(414) 288-6790FaxUnlisted FaxMailing LocationMailing Address1801 W Wisconsin Ave, Milwaukee, WI 53233-2186PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer